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Case Report: Management of a Giant Cell Tumor on the left distal femur

After the diagnosis of a Giant Cell Tumor (GCT) on the left distal femur the follow up after one year showed that the void was now completely filled with trabeculated bone.

Bonesupport shares findings and experiences in a very detailed Case Report.

Patient

49 year old male.

Diagnosis

Pre-op radiographs and MRI suggested Giant Cell Tumor (GCT) of the left disal femur.

Treatment

  • Intralesional excision of the GCT was performed.
  • Margin expansion was achieved with an Argon Beam Laser.
  • The debrided bone void was filled with 75cc of CERAMENT®|BONE VOID FILLER and the distal femur stabilized with a 4.5 lateral locking plate.
  • Histology con rmed GCT.

Outcome

  • Two weeks post-op radiographs showed complete filling of the bone void with CERAMENT®|BONE VOID FILLER.
  • At 6 weeks post-op, evidence of CERAMENT®|BONE VOID FILLER degradation is observed at the periphery of the bone void.
  • Evidence of bone remodeling is seen at 10 weeks post-op, with degradation and resorption of CERAMENT®|BONE VOID FILLER in sync with generation of new bone.
  • Patient was full weight bearing at 6 weeks post-op.
  • At 7 months follow-up, the void is almost completely filled with new trabeculated bone.
  • At 1 year follow up, the void is now completely filled with trabeculated bone

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Case Report: Management of a Giant Cell Tumor (pdf, 5 MB)

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