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Int Orthop. Aug 2004; 28(4): 239–243.
Published online May 25, 2004. doi:  10.1007/s00264-004-0564-z
PMCID: PMC3456930
Giant-cell tumors of bone: an analysis of 87 cases
Yu-Ping Su,1,2 Wei-Ming Chen,corresponding author1,2 and Tain-Hsiung Chen1,2
1Department of Orthopaedics and Traumatology, Veterans General Hospital, 201, Sec. 2, Shih-Pai Road, Taipei, 112 Taiwan, ROC
2Department of Surgery, School of Medicine, National Yang-Ming University, Taipei, Taiwan, ROC
Wei-Ming Chen, Phone: +886-2-28757557, Fax: +886-2-28757657, su/at/pie.com.tw.
corresponding authorCorresponding author.
Received March 8, 2004; Accepted April 13, 2004.
Abstract
We reviewed 87 patients with giant-cell tumor treated between 1992 and 2001. The mean follow-up was 62 (28–138) months. Fifty-six lesions were treated with intralesional curettage with adjunctive phenol treatment and reconstructed with autograft and allograft. Thirty-one lesions were treated with wide resection and reconstructed with prosthesis, osteochondral allograft, or alloprosthetic composite. Overall recurrence was 12%. Recurrence rate after curettage was 18% and 3% after wide excision. Complication rate after wide excision was higher than that after curettage. Functional outcome was evaluated using the Enneking scoring system. Average rating was 86% for the lower extremity and 83% for the upper extremity. The overall satisfactory rate was 88%.
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Selected References
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