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Surgery for locally aggressive bone tumours

A Devitt1, T O'Sullivan, M Kavanagh

  • 1Cappagh Orthopaedic Hospital, Dublin.

Irish Journal of Medical Science
|October 1, 1996
PubMed
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This study reports a combined cryosurgery, phenolization, and acrylic cementation technique for aggressive bone tumors. The treatment achieved 86% functional recovery and a low local recurrence rate, indicating its effectiveness for local tumor control.

Area of Science:

  • Orthopedic Surgery
  • Surgical Oncology
  • Oncology

Background:

  • Aggressive benign bone tumors and low-grade malignancies require effective treatment strategies.
  • Local control and functional outcomes are critical considerations in managing these bone lesions.

Purpose of the Study:

  • To evaluate the efficacy of a combined surgical regimen for aggressive bone tumors.
  • To assess functional outcomes and local recurrence rates following treatment.

Main Methods:

  • A cohort of 17 patients (16 aggressive benign bone tumors, 1 low-grade malignancy) were treated between 1986-1993.
  • The combined regimen included cryosurgery, phenolization, and acrylic cementation.
  • Patients were followed for a minimum of 13 months, with assessments of functional outcome and local recurrence.

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Main Results:

  • The most common diagnoses were giant cell tumor (7) and aneurysmal bone cyst (6).
  • An average of 86% of premorbid function was restored at follow-up.
  • A single local recurrence (6.29%) was observed in the patient group.

Conclusions:

  • The combined approach of cryosurgery, phenolization, and acrylic cementation is a satisfactory method for achieving local control of aggressive bone tumors.
  • This technique demonstrates a favorable balance between functional restoration and oncological safety.