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Case Report
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| Giant cell tumour of the distal humerus treated with elbow arthroplasty: A case report |
| Azad Sait S1, Manasseh Nithyanath2, Vinoo M. Cherian3 |
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1Azad Sait S, Post Graduate Registrar, Department of Orthopaedics, Christian Medical College, Vellore, Tamil Nadu State.
2Manasseh Nithyanath, Associate Professor, Department of Orthopaedics, Christian Medical College, Vellore, Tamil Nadu State. 3Vinoo M. Cherian, Professor, Department of Orthopaedics, Christian Medical College, Vellore, Tamil Nadu State, India – 632004. |
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doi:10.5348/ijcri-2012-04-113-CR-10
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Address correspondence to: Azad Sait S Post Graduate Registrar Department of Orthopaedics, Christian Medical College Vellore, Tamil Nadu State, India – 632004 Phone: 9629246186 Fax: 416 228 2020 Email: azad_sait@rediffmail.com |
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| How to cite this article: |
| SA Sait, Nithyanath M, Cherian VM. Giant cell tumour of the distal humerus treated with elbow arthroplasty: A case report. International Journal of Case Reports and Images 2012;3(4):37–40. |
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Abstract
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Introduction:
Giant cell tumour (GCT) of the distal humerus is very rare and the treatment depends on the grade of the tumour.
Case Report: We present a 32-year-old lady with Grade III GCT of the left distal humerus treated with en bloc excision and custom made total elbow replacement. Her preoperative Mayo Elbow Performance Score was 30. At 56 months follow up, she is pain free with a Mayo Elbow Performance Score of 90 and no evidence of recurrence. Conclusion: Enneking's staging and Campanacci's radiographic grading helps in planning the treatment. When the lesion has violated a joint, en bloc excision followed by reconstruction or joint sacrifice is the treatment of choice. The options of reconstruction are auto or allografts, custom made endoprosthesis or allograft endoprosthetic composite. Reconstruction using autograft is seldom feasible in elbow. Allografts are met with high complication rates. Custom made total elbow arthroplasty is a good option especially for primary tumours of the elbow and can be done with good oncologic safety. Custom made total elbow arthroplasty is a good option for Campanacci Grade III GCT of the elbow. It provides excellent pain relief and good functional improvement with low complication rate. | |
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Key Words:
Giant cell tumour, Elbow tumour, Elbow arthroplasty.
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Author Contributions:
Azad Sait S - Acquisition of data, Analysis and interpretation of data, Drafting the article, Final approval of the version to be published Manasseh Nithyanath - Conception and design, Analysis and interpretation of data, Critical revision of the article, Final approval of the version to be published Vinoo M. Cherian - Conception and design, Analysis and interpretation of data, Critical revision of the article, Final approval of the version to be published |
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Guarantor of submission:
The corresponding author is the guarantor of submission. |
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Source of support:
None |
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Conflict of interest:
The authours declare that they do not have any financial interest or any conflict of interest exists. |
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Copyright:
© Azad Sait S et. al. 2012; This article is distributed the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any means provided the original authors and original publisher are properly credited. (Please see Copyright Policy for more information.) |
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