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International Orthopaedics
Published in: International Orthopaedics 5/2014

01-05-2014 | Original Paper

Lower recurrence rate in chondroblastoma using extended curettage and cryosurgery

Authors: Mohamed Ahmed Mashhour, Mohamed Abdel Rahman

Published in: International Orthopaedics | Issue 5/2014

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Abstract

Purpose

Various methods for the treatment of chondroblastoma of bone have been used including simple curettage, or combined with bone grafting, in addition to the use of adjuvant therapy. However, local recurrence still represents a challenge in the management of this aggressive tumour. This study focuses on evaluating the role of intraregional extended curettage together with the use of adjuvant cryotherapy and autogenous bone grafting in the treatment of benign chondroblastoma of bone aiming to decrease the recurrence rate.

Methods

All patients with chondroblastoma included in this study underwent intralesional extended curettage, adjuvant cryotherapy using liquid nitrogen, and autogenous iliac crest bone grafting. Follow up for healing of chondroblastoma lesions and detection of any local recurrence was assessed on clinical and radiological bases. The functional outcome was assessed by the Musculoskeletal Tumour Society scoring system.

Results

The mean follow-up period was 49 months. The average time for bone healing was 7.4 months. Our rate of local recurrence is 7.1 %. Two patients (14.3 %) developed physeal growth arrest. One patient had superficial skin sloughing (7.1 %). None of the cases had pathological fracture. The mean Musculoskeletal Tumour Society functional score was 92.7 %.

Conclusion

Chondroblastoma is an aggressive benign bone tumour with a high rate of recurrence. The use of high-speed burr combined with adjuvant intralesional cryotherapy and iliac crest autogenous bone grafting is a reliable method of treatment with a low rate of recurrence.
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Metadata
Title
Lower recurrence rate in chondroblastoma using extended curettage and cryosurgery
Authors
Mohamed Ahmed Mashhour
Mohamed Abdel Rahman
Publication date
01-05-2014
Publisher
Springer Berlin Heidelberg
Published in
International Orthopaedics / Issue 5/2014
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI
https://doi.org/10.1007/s00264-013-2178-9

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