Resection of Periarticular Giant Cell Tumor and Arthrodesis Using Ilizarov Fixator

Abstract

Objective: To see the outcome of resection of periarticular giant cell tumor and arthrodesis using ilizarov fixator. Methods: This case series study was performed during June 2013 to June 2017. Patients of periarticular giant cell tumor were operated after counseling and consent at the Department of Orthopedics Surgery Chandka Medical College Hospital. After resection of the tumor, fixator was applied and transport was started after latent period of 7 days. Unifocal and bifocal transport was used. After docking fixator was retained till the regenerate was strong. Outcome was measured according to the ASAMI criteria. The data collected was statistically analyzed. Results: 12 patients were included in this study. Out of 12 patients 8 were male and 4 were female. Mean gap after resection of the tumor was 8.25 cm. Mean age was 37.1 years. Results were promising according to ASAMI criteria. 3 patients suffered from complications. 2 suffered pin tract infection and one suffered non-union at docking site. Conclusion: Resection of the periarticular giant cell tumor and arthrodesis using ilizarov fixator is good and cost effective method of bone gap management and limb salvage. Considering expensive endoprosthesis reconstruction and their complications ilizarov fixator is good at reconstructing the defects.