What is it about?
When a bone defect, no matter how large, is created by surgical removal of giant cell tumor of the bone, such defects could be healed by bone regeneration. This is what this report showed provided the operation is done with preservation of biological bone healing environment. In this case, the tumor excision was done subperiosteal, the defect space excluded, preserved and maintained and the bone completely regenerated itself to repair the gap.
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Why is it important?
This type of repair of the bone defect is natural and will very likely endure. It is less costly and simple to perform. The conventional methods of surgical reconstruction of similar defects have been tasking, often with high complication rates and very unsatisfactory outcomes.
Perspectives
Although this a single case studied, the follow up of more than ten years with progressively satisfactory functional/cosmetic outcome makes the report very informative. Clinicians who manage bone defects from treatment of giant cell tumors or other benign bone lesions could experiment with the method reported and report their experiences for consensus building.
Professor Okechukwu Onwuasoigwe
University of Nigeria
Read the Original
This page is a summary of: Treatment of a Large Bone Defect of the Distal Part of the Radius After Intralesional Excision of Stage-III Recurrent Giant Cell Tumor by Bone Regeneration, JBJS Essential Surgical Techniques, January 2014, The Journal of Bone and Joint Surgery, Inc.,
DOI: 10.2106/jbjs.cc.m.00136.
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