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Antal Imre Department of Orthopaedics, Semmelweis University, Budapest, Hungary

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Sápi Zoltán Department of Pathology and Experimental Cancer Research, Semmelweis University, Budapest

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Szendrői Miklós Department of Orthopaedics, Semmelweis University, Budapest, Hungary

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therefore more difficult in these cases compared to de novo GCTB. In many cases incomplete excision leads to reactivation of the tumour cells after denosumab treatment is discontinued. Rutkowski and coworkers ( 35 ) reported a 32% recurrence rate following

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Robert Grimer The Royal Orthopaedic Hospital, Birmingham, UK

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Michael Parry The Royal Orthopaedic Hospital, Birmingham, UK

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Steven James The Royal Orthopaedic Hospital, Birmingham, UK

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rate and quality of the re-excision margins, but those which have ( Table 1 ) have reported clear margins in 74–91% of cases. 15 , 19 Reconstruction Several authors have commented on the high rates of limb reconstruction needed after wide re

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Stijn E. W. Geraets Department of Orthopaedics, Erasmus MC, University Medical Centre Rotterdam, Rotterdam, The Netherlands

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P. Koen Bos Department of Orthopaedics, Erasmus MC, University Medical Centre Rotterdam, Rotterdam, The Netherlands

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Johan van der Stok Department of Orthopaedics, Erasmus MC, University Medical Centre Rotterdam, Rotterdam, The Netherlands

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the following exclusion criteria: spinal or pelvic metastases only ( n = 39); reports with < 5 eligible cases ( n = 7); 15 – 21 review article ( n = 2); 22 , 23 incomplete outcome data given ( n = 4); 6 , 24 – 26 short practical

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Andrea Angelini Department of Orthopedics and Traumatology and Oncological Orthopedics, University of Padova, Italy

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Ivan Bohacek Department of Orthopaedic Surgery, University Hospital Centre Zagreb, School of Medicine, University of Zagreb, Salata, Zagreb, Croatia

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Mihovil Plecko Department of Orthopaedic Surgery, University Hospital Centre Zagreb, School of Medicine, University of Zagreb, Salata, Zagreb, Croatia

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Carlo Biz Department of Orthopedics and Traumatology and Oncological Orthopedics, University of Padova, Italy

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Giulia Trovarelli Department of Orthopedics and Traumatology and Oncological Orthopedics, University of Padova, Italy

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Mariachiara Cerchiaro Department of Orthopedics and Traumatology and Oncological Orthopedics, University of Padova, Italy

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Giuseppe Di Rubbo Department of Orthopedics and Traumatology and Oncological Orthopedics, University of Padova, Italy

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Pietro Ruggieri Department of Orthopedics and Traumatology and Oncological Orthopedics, University of Padova, Italy

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than two-thirds of patients classified in this group, and valgus deformity of the ankle was the most commonly reported one. Around 70% of reported cases were children. The peculiarity of children is their growth potential, making them a difficult group

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Joaquim Soares do Brito Orthopedics Department, University Hospital of Santa Maria, Lisbon, Portugal

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André Spranger Orthopedics Department, University Hospital of Santa Maria, Lisbon, Portugal

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Paulo Almeida Orthopedics Department, University Hospital of Santa Maria, Lisbon, Portugal

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José Portela Orthopedics Department, University Hospital of Santa Maria, Lisbon, Portugal

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Irene Barrientos-Ruiz Orthopedics Department, University Hospital of La Paz, Madrid

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articles, case report studies, articles with full text in languages other than English; articles with only abstracts available, and articles where the full text was not accessible. To achieve more consistency in the information retrieved, papers that did

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Maria Beatriz Quaresma Orthopaedics Department, University Hospital Santa Maria – Centro Hospitalar Lisboa Norte, Lisbon, Portugal

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José Portela Orthopaedics Department, University Hospital Santa Maria – Centro Hospitalar Lisboa Norte, Lisbon, Portugal

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Joaquim Soares do Brito Orthopaedics Department, University Hospital Santa Maria – Centro Hospitalar Lisboa Norte, Lisbon, Portugal

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For this type of study, we included prospective and retrospective observational studies, randomized controlled trials, case-controlled studies and cohort studies. We excluded the following: review articles and case report studies; articles with only

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Olga D. Savvidou First Department of Orthopaedic Surgery, National and Kapodistrian University of Athens, ‘ATTIKON’ Hospital, Athens, Greece

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Panagiotis Koutsouradis Department of Orthopaedic Surgery, 417 Veterans Hospital (NIMTS), Athens, Greece

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George D. Chloros First Department of Orthopaedic Surgery, National and Kapodistrian University of Athens, ‘ATTIKON’ Hospital, Athens, Greece

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Ioannis Papanastasiou First Department of Orthopaedic Surgery, National and Kapodistrian University of Athens, ‘ATTIKON’ Hospital, Athens, Greece

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Thomas Sarlikiotis First Department of Orthopaedic Surgery, National and Kapodistrian University of Athens, ‘ATTIKON’ Hospital, Athens, Greece

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Aggelos Kaspiris Laboratory of Molecular Pharmacology/ Sector for Bone Research, School of Health Sciences, University of Patras, Patras, Greece

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Panayiotis J. Papagelopoulos First Department of Orthopaedic Surgery, National and Kapodistrian University of Athens, ‘ATTIKON’ Hospital, Athens, Greece

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corresponding to the highly vascularized mesenchymal tissue which is reported to be observed in all patients. 16 – 18 Whereas some cases are self-limiting, surgical treatment options include intralesional curettage or radiofrequency ablation. The ‘en bloc

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Elisa Pala Department of Orthopedics and Orthopedic Oncology, University of Padova, Padova, Italy

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Giulia Trovarelli Department of Orthopedics and Orthopedic Oncology, University of Padova, Padova, Italy

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Andrea Angelini Department of Orthopedics and Orthopedic Oncology, University of Padova, Padova, Italy

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Maria Chiara Cerchiaro Department of Orthopedics and Orthopedic Oncology, University of Padova, Padova, Italy

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Pietro Ruggieri Department of Orthopedics and Orthopedic Oncology, University of Padova, Padova, Italy

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pathological fracture in severe cases ( 8 , 9 ). Different types of treatment for ABC are reported, including surgery, percutaneous treatments, and medical treatments; however, there is currently no consensus on the best approach, and the risks and benefits

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Ajay Puri Department of Surgery, Tata Memorial Hospital, HBNI, Mumbai

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%. However, in multiple osteochondromatosis the risk increases to 5%, though they usually present after skeletal maturity. In 2012, Mosier et al published the only reported case in the literature of a chondrosarcoma possibly arising secondary to an

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Serkan Bayram Department of Orthopedics and Traumatology, Istanbul University, Istanbul Faculty of Medicine, Istanbul, Turkey

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Ahmet Salduz Department of Orthopedics and Traumatology, Istanbul University, Istanbul Faculty of Medicine, Istanbul, Turkey

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Ahmet Müçteba Yıldırım Department of Orthopedics and Traumatology, Istanbul University, Istanbul Faculty of Medicine, Istanbul, Turkey

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Korhan Özkan Department of Orthopedics and Traumatology, Istanbul Medeniyet University, Istanbul Faculty of Medicine, Istanbul, Turkey

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Levent Eralp Department of Orthopedics and Traumatology, Retired Professor of Istanbul University, Istanbul Faculty of Medicine, Istanbul, Turkey

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Harzem Özger Department of Orthopedics and Traumatology, Retired Professor of Istanbul University, Istanbul Faculty of Medicine, Istanbul, Turkey

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-text articles in English language and studies reporting radiological outcomes during follow-up, including articular degeneration after extended curettage and filling with PMMA, were included. We excluded abstracts, letters to the editor, review articles, case

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