Evidence map›Paper›PMID 33155564›Full record

Observational studyActa orthopaedica et traumatologica turcica2020

Mid-term results of intralesional extended curettage, cauterization, and polymethylmethacrylate cementation in the treatment of giant cell tumor of bone: A retrospective case series.

Evrim Şirin, Ahmet Hamdi Akgülle, Osman Mert Topkar, Ömer Sofulu, Said Erkam Baykan, Bülent Erol

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Acta orthopaedica et traumatologica turcica, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.2field-weighted citation impact, top 19% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 16 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Evrim ŞirinDepartment of Orthopaedic Surgery and Traumatology, Marmara University, School of Medicine, İstanbul, Turkey.
Ahmet Hamdi AkgülleDepartment of Orthopaedic Surgery and Traumatology, Marmara University, School of Medicine, İstanbul, Turkey.
Osman Mert TopkarDepartment of Orthopaedic Surgery and Traumatology, Marmara University, School of Medicine, İstanbul, Turkey.
Ömer SofuluDepartment of Orthopaedic Surgery and Traumatology, Marmara University, School of Medicine, İstanbul, Turkey.
Said Erkam BaykanDepartment of Orthopaedic Surgery and Traumatology, Marmara University, School of Medicine, İstanbul, Turkey.
Bülent ErolDepartment of Orthopaedic Surgery and Traumatology, Marmara University, School of Medicine, İstanbul, Turkey.
Marmara University · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe aim of this study was to present the mid-term functional outcomes and recurrence rate in patients with giant cell tumor of bone (GCTB) treated by intralesional extended curettage, electrocauterization, and polymethylmethacrylate (PMMA) cementation.

methodsIn this retrospective observational study, 79 consecutive patients (41 females, 38 males; mean age=39 years; age range=19-62 years) who were diagnosed and treated for GCTB between 2005 and 2017 were identified from hospital medical records. All patients were treated by intralesional extended curettage using high-speed burr, electrocauterization of the cavity, and filling the defect with PMMA. No additional local adjuvants were used. The mean follow-up period was 47 months (range=24-96). The tumors were graded according to the radiological classification system described by Campanacci. Functional outcomes were evaluated using the Musculoskeletal Tumor Society Score (MSTS) preoperatively, one year postoperatively, and at the final follow-up. Postoperative complications and recurrence rates were recorded.

resultsTwenty-nine tumors were located in the distal femur, 23 in the proximal tibia, nine in the distal radius, five in the proximal humerus, five in the pelvis, three in the proximal fibula, two in the distal ulna, two in the distal tibia, and one in the second metatarsal. According to Campanacci classification, 37 tumors were grade III, 32 grade II, and 10 grade I. The mean MSTS score was 46.1% (range 40.2 to 71.4%) preoperatively, 91.7% (range 73.3% to 100%) one year postoperatively, and 86.3 % (range 66.2% to 96,1%) at the final follow-up. The overall complication rate was 7.6%; which included local tumor recurrence in four patients, superficial wound infection in one, and deep wound infection in another. The recurrence rate was 5.1% (4 patients). Recurrent tumors were located at the distal femur in three patients and proximal tibia in one.

conclusionWith satisfactory functional results and low recurrence rates at the mid-term follow-up, GCTB can be treated effectively with intralesional extended curettage, electrocauterization, and PMMA cementation. LEVEL OF EVIDENCE: Level IV, Therapeutic study.

Indexed as

Bone NeoplasmsGiant Cell Tumor of BoneNeoplasm Recurrence, LocalOrthopedic ProceduresPostoperative ComplicationsAdultBone CementsCauteryCurettageFemaleHumansMaleNeoplasm GradingOutcome and Process Assessment, Health CarePolymethyl MethacrylateRadiographyBone CementsPolymethyl Methacrylate

Identifiers

PMID33155564
PMCPMC7646609
OpenAlexW3095962307

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.