Wuisman P, Härle A, Nommensen B, Reiser M, Erlemann R, Roessner A, Bosse A
Klinik und Poliklinik für Allgemeine Orthopädie, Westfälischen Wilhelms-Universität.
Z Orthop Ihre Grenzgeb. 1989 Jan-Feb;127(1):89-97. doi: 10.1055/s-2008-1040095.
This retrospective study analyses 67 patients with 69 giant cell tumors of bone staged according to the Surgical Staging System of benign and malignant lesions of Enneking (1980, 1986). A significant correlation between Stage 2 and Stage 3 benign lesions in respect to local recurrence as well as between the therapeutic procedures and recurrence was found. Intralesional excision with temporary acrylic cement implantation showed to be the preferable initial treatment of these tumors. Special attention to surgical staging, surgical techniques and a supervised rehabilitation program minimize the incidence of recurrence and at the same time giving am maximum of joint function.