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Introduction In orthopedic oncological practice, intralesional curettage and bone cementation are performed routinely for the treatment of benign aggressive bone tumors such as giant cell tumor of bone (GCTB) ( 1 ). Bone cement (especially
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versus those treated with wide excision (33% vs 2%). Nonetheless, among those patients treated with curettage, the addition of bone cement as an adjuvant decreased the local recurrence rate to 22%. 8 The use of a wide range of adjuvants after
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remains the gold standard for treatment and it is usually curative. Local recurrence rates after curettage and polymethyl-methacrylate (PMMA) bone cement and curettage and bone grafting are reported at 17% and 37% respectively. 54 Although wide
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the periosteum is preserved, and rigid fixation can be achieved by locking with proximal and distal interlocking screws, and/or by using bone cement surrounding the nail. 25 All intramedullary nails need distal locking to provide rotation
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temporary resection-arthrodesis of the knee utilizing a long intramedullary rod and acrylic bone cement described by Professor Mario Campanacci ( Fig. 2 ). This technique has been recommended for very young patients with high growing potential as a debulking
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advantages and disadvantages. 43 , 44 For short-term life expectancies, intramedullar nailing with locking screws introduced by minimally invasive technique and augmented by bone cement is optimal. The patient may load the extremity immediately; post
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in at least 50% of patients ( 15 ). Resection arthrodesis with intramedullary nails and acrylic bone cement This reconstructive surgical method after resection is suitable in the case of tumor formation adjacent to a joint, especially in the
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resection for treating PAO was first described by Campanacci et al, 36 creating a unicortical window with wide margin. The defect is reconstructed using either bone cement, autograft such as fibular autograft, allograft or pasteurized
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technique after fibular resection. Bone cement (asterisk) is used to fill the fibular defect in the first stage and then is replaced by autologous cancellous bone. Table 4 Summary of operatively treated patients due to tumor of the distal