Evidence map›Paper›PMID 36978172›Full record

ArticleWorld journal of surgical oncology2023

'Triple clear': a systematic and comprehensive surgical process for Campanacci grades II and III giant cell tumors of the bone, with or without pathological fracture and slight joint invasion.

Yushan Wang, Pengfei Shao, Qiaoqiao Tian, Haoze Li, Jian Li, Peng Ren, Zhi Lv, Jia Lv, Junjun Bai, Yi Feng

Abstract read
In one paragraph

Article in World journal of surgical oncology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
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

10 authors.

Yushan WangDepartment of Orthopaedics, The Second Hospital of Shanxi Medical University, No. 382 of 51 Road, Taiyuan, Shanxi, China.
Pengfei ShaoDepartment of Orthopaedics, The Second Hospital of Shanxi Medical University, No. 382 of 51 Road, Taiyuan, Shanxi, China.
Qiaoqiao TianDepartment of Orthopaedics, The Second Hospital of Shanxi Medical University, No. 382 of 51 Road, Taiyuan, Shanxi, China.
Haoze LiDepartment of Orthopaedics, The Second Hospital of Shanxi Medical University, No. 382 of 51 Road, Taiyuan, Shanxi, China.
Jian LiDepartment of Orthopaedics, The Second Hospital of Shanxi Medical University, No. 382 of 51 Road, Taiyuan, Shanxi, China.
Peng RenDepartment of Orthopaedics, The Second Hospital of Shanxi Medical University, No. 382 of 51 Road, Taiyuan, Shanxi, China.
Zhi LvDepartment of Orthopaedics, The Second Hospital of Shanxi Medical University, No. 382 of 51 Road, Taiyuan, Shanxi, China.
Jia LvDepartment of Orthopaedics, The Second Hospital of Shanxi Medical University, No. 382 of 51 Road, Taiyuan, Shanxi, China.
Junjun BaiDepartment of Orthopaedics, The Second Hospital of Shanxi Medical University, No. 382 of 51 Road, Taiyuan, Shanxi, China.
Yi FengDepartment of Orthopaedics, The Second Hospital of Shanxi Medical University, No. 382 of 51 Road, Taiyuan, Shanxi, China. fengyi160@126.com.

Funding

Applied Basic Research of Shanxi Province 201901D111373Science and Technology Innovation Program of Higher Education Institutions in Shanxi Province 2021L196
6 · The paper itself

Abstract

backgroundIn recent years, researchers have proposed a number of adjuvant methods for extended curettage of giant cell tumors of the bone. However, various schemes have significant differences in efficacy and safety. Therefore, this article will describe an empirical expanded curettage protocol, 'triple clear', in detail to show the effect of the efficient surgical protocol.

methodPatients with Campanacci grades II and III primary GCTB who were treated with either SR (n = 39) or TC (n = 41) were included. Various perioperative clinical indicators, including the therapy modality, operation time, Campanacci grade, and filling material were recorded and compared. The pain level was determined by the visual analog scale. Limb function was determined by the Musculoskeletal Tumour Society (MSTS) score. Follow-up time, recurrence rates, reoperation rates, and complication rates were also recorded and compared.

resultThe operation time was 135.7 ± 38.4 min in the TC group and 174.2 ± 43.0 min in the SR group (P < 0.05). The recurrence rates were 7.3% in the TC group and 8.3% in the SR group (P = 0.37). The MSTS scores at three months after surgery were 19.8 ± 1.5 in the TC group and 18.8 ± 1.3 in the SR group. The MSTS scores at two years were 26.2 ± 1.2 in the TC group and 24.3 ± 1.4 in the SR group (P < 0.05).

conclusionTC is recommended for patients with Campanacci grade II-III GCTB and for those with a pathological fracture or slight joint invasion. Bone grafts may be more suitable than bone cement in the long term.

Indexed as

Bone NeoplasmsFractures, SpontaneousGiant Cell Tumor of BoneCurettageGiant CellsHumansNeoplasm Recurrence, LocalRetrospective StudiesTreatment Outcome

Identifiers

PMID36978172
PMCPMC10053671

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.