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Curettage as first surgery for bone giant cell tumor : adequate surgery is more important than oncology training or surgical management by high volume specialized teams

  • Original Article • TUMORS - CURETTAGE
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European Journal of Orthopaedic Surgery & Traumatology Aims and scope Submit manuscript

Abstract

We reviewed the files of 203 patients with extremities GCTB treated with curettage as first surgery from 1990 to 2013. Median follow-up was 84.2 months. We evaluated whether the years of practice and training in orthopaedic oncology are associated with local recurrences, function and complications after curettage as first surgery for giant cell tumour of bone (GCTB). Local recurrences were not significantly different between orthopaedic oncology trained and non-trained orthopaedic surgeons and between orthopaedic surgeons with < 10 years and ≥ 10 years of practice. Function was not significantly different between orthopaedic oncology trained and non-trained surgeons and between orthopaedic surgeons with < 10 years and ≥ 10 years of practice. The only important univariate and multivariate predictor for local recurrence was PMMA adjuvant. Complications were not significantly different between orthopaedic oncology trained and non-trained orthopaedic surgeons and between orthopaedic surgeons with < 10 years and ≥ 10 years of practice. Curettage may be effectively performed as first surgery for GCTB by early-career (< 10 years of practice) non-trained orthopaedic oncology orthopaedic surgeons. PMMA adjuvant is recommended after appropriate curettage.

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, Nara Medical University, Nara, Japan

    Shinji Tsukamoto & Yasuhito Tanaka

  2. First Department of Orthopaedics, School of Medicine, National and Kapodistrian University of Athens, 41 Ventouri Str., 15562, Athens, Greece

    Andreas F. Mavrogenis

  3. Department of Orthopaedic Oncology, IRCCS Istituto Ortopedico Rizzoli, via di Barbiano, 1/10, 40136, Bologna, Italy

    Piergiuseppe Tanzi & Costantino Errani

  4. Department of Orthopaedic Surgery, San Gerardo Hospital, Monza, Italy

    Giulio Leone

  5. Department of Public Health, Health Management and Policy, Nara Medical University, Nara, Japan

    Manabu Akahane

Authors
  1. Shinji Tsukamoto
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  2. Andreas F. Mavrogenis
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  3. Piergiuseppe Tanzi
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  4. Giulio Leone
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  5. Manabu Akahane
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  6. Yasuhito Tanaka
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  7. Costantino Errani
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Correspondence to Costantino Errani.

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Tsukamoto, S., Mavrogenis, A.F., Tanzi, P. et al. Curettage as first surgery for bone giant cell tumor : adequate surgery is more important than oncology training or surgical management by high volume specialized teams. Eur J Orthop Surg Traumatol 30, 3–9 (2020). https://doi.org/10.1007/s00590-019-02535-y

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  • DOI: https://doi.org/10.1007/s00590-019-02535-y

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