Publication:

Total knee arthroplasty with Mesh technique in management of juxta-articular giant cell tumor around the knee

Background Giant Cell Tumors (GCT) of bone are aggressive and potentially malignant lesions. Still it is one of difficult and challenging problem because there are no absolute clinical, radiographic or histological parameters that accurately predict the propensity of any single lesion to recur or metastasize. Eighty per cent of the GCT have a benign course, with a local recurrence rate of 10-50%; about 10% of GCT undergo malignant transformation through their recurrences. The main aim of the management of GCT is to eliminate the tumor and still save the joint function. We present our experience with long stem prosthetic total knee arthroplasty for juxta articular giant cell tumors around the knee.

Methods Fourteen patients of juxta articular giant cell tumor around the knee were treated in our institute during the period 2008 to 2014 underwent resection and replacement by long stem arthroplasty with mesh were analyzed in this study. Patients were evaluated depending upon pain (Visual analogue score), range of movement, infection, pathological fracture and recurrence of tumor.

Results Excellent results were obtained in all 12 patients (85.71%) and 2 patients had good (14.29%) results in case of TKR with mesh in this study.

Conclusions Total knee arthroplasty with mesh is effective in achieving the desired goals of reconstruction with good functional results, least complications in selected patients and no recurrence.