The effect of adjuvant cryotherapy added to well-performed high-speed burr curettage on the long-term surgical outcomes of chondroblastoma cases

ERDOĞAN, Furkan; büyükceran, ismail; Dabak, Nevzat; Yurtbay, Alparslan; COSKUN, Huseyin Sina; Çinka, Hikmet

doi:10.52312/jdrs.2023.936

The effect of adjuvant cryotherapy added to well-performed high-speed burr curettage on the long-term surgical outcomes of chondroblastoma cases

Alparslan YURTBAY, (Samsun Üniversitesi, Tıp Fakültesi, Ortopedi ve Travmatoloji Anabilim Dalı, Samsun, Türkiye)

Sina COŞKUN, (Ondokuz Mayıs Üniversitesi, Tıp Fakültesi, Ortopedi ve Travmatoloji Anabilim Dalı, Samsun, Türkiye)

Hikmet ÇİNKA, (Karasu Devlet Hastanesi, Ortopedi ve Travmatoloji Anabilim Dalı, Sakarya, Türkiye)

Furkan ERDOĞAN, (Amasya Eğitim ve Araştırma Hastanesi, Ortopedi ve Travmatoloji Anabilim Dalı, Amasya, Türkiye)

İsmail BÜYÜKCERAN, (Ondokuz Mayıs Üniversitesi, Tıp Fakültesi, Ortopedi ve Travmatoloji Anabilim Dalı, Samsun, Türkiye)

Nevzat DABAK (Ondokuz Mayıs Üniversitesi, Tıp Fakültesi, Ortopedi ve Travmatoloji Anabilim Dalı, Samsun, Türkiye)

Joint diseases and related surgery

5 0

Yıl: 2023 Cilt: 34 Sayı: 2 Sayfa Aralığı: 338 - 345 Metin Dili: İngilizce DOI: 10.52312/jdrs.2023.936 İndeks Tarihi: 11-07-2023

The effect of adjuvant cryotherapy added to well-performed high-speed burr curettage on the long-term surgical outcomes of chondroblastoma cases

Öz:

Objectives: This study aims to investigate the effect of adjuvant cryotherapy added to well-performed high-speed burr curettage on the long-term surgical outcomes of chondroblastoma cases. Patients and methods: Between January 2004 and December 2020, a total of 30 chondroblastoma cases (19 males, 11 females; median age: 18.6 years; range, 9 to 53 years) who were surgically treated were retrospectively analyzed. The pressurized-spray technique was performed using liquid nitrogen. Data including age, sex, radiological appearance, treatment modality, duration of follow-up, skin problems, and recurrence were recorded. All patients received adjuvant liquid nitrogen cryotherapy after extended intralesional curettage with high-speed burr. The bone cavity was filled with an autologous iliac crest bone graft, allograft, or polymethylmethacrylate (PMMA). Results: The median follow-up was 54 (range, 19 to 120) months. The lesion was located around the knee in 16 (53.3%), in the shoulder in seven (23.3%), around the hip in five (16.6%), and in the ankle in two (6.6%) cases. The defect was filled with an autologous iliac crest bone graft in 28 (93.3%), an additional allograft in eight (26.7%), and PMMA in two (6.7%) cases. Local recurrence was observed in only two (6.7%) patients during follow-up. Two (6.7%) patients developed physeal growth arrest. Osteoarthritic changes were observed in two (6.7%) patients (one knee and one hip) due to the periarticular location of the tumor. Three (10%) patients had skin complications. None of the cases had a pathological fracture. Conclusion: A well-performed extended intralesional curettage with high-speed burr is the first and essential step in treating chondroblastoma. Adding adjuvant liquid nitrogen cryotherapy with high-speed burr can improve treatment outcomes and significantly reduce the recurrence rate of this disease.

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	Yurtbay A, COSKUN H, Çinka H, ERDOĞAN F, büyükceran i, Dabak N (2023). The effect of adjuvant cryotherapy added to well-performed high-speed burr curettage on the long-term surgical outcomes of chondroblastoma cases. , 338 - 345. 10.52312/jdrs.2023.936
Chicago	Yurtbay Alparslan,COSKUN Huseyin Sina,Çinka Hikmet,ERDOĞAN Furkan,büyükceran ismail,Dabak Nevzat The effect of adjuvant cryotherapy added to well-performed high-speed burr curettage on the long-term surgical outcomes of chondroblastoma cases. (2023): 338 - 345. 10.52312/jdrs.2023.936
MLA	Yurtbay Alparslan,COSKUN Huseyin Sina,Çinka Hikmet,ERDOĞAN Furkan,büyükceran ismail,Dabak Nevzat The effect of adjuvant cryotherapy added to well-performed high-speed burr curettage on the long-term surgical outcomes of chondroblastoma cases. , 2023, ss.338 - 345. 10.52312/jdrs.2023.936
AMA	Yurtbay A,COSKUN H,Çinka H,ERDOĞAN F,büyükceran i,Dabak N The effect of adjuvant cryotherapy added to well-performed high-speed burr curettage on the long-term surgical outcomes of chondroblastoma cases. . 2023; 338 - 345. 10.52312/jdrs.2023.936
Vancouver	Yurtbay A,COSKUN H,Çinka H,ERDOĞAN F,büyükceran i,Dabak N The effect of adjuvant cryotherapy added to well-performed high-speed burr curettage on the long-term surgical outcomes of chondroblastoma cases. . 2023; 338 - 345. 10.52312/jdrs.2023.936
IEEE	Yurtbay A,COSKUN H,Çinka H,ERDOĞAN F,büyükceran i,Dabak N "The effect of adjuvant cryotherapy added to well-performed high-speed burr curettage on the long-term surgical outcomes of chondroblastoma cases." , ss.338 - 345, 2023. 10.52312/jdrs.2023.936
ISNAD	Yurtbay, Alparslan vd. "The effect of adjuvant cryotherapy added to well-performed high-speed burr curettage on the long-term surgical outcomes of chondroblastoma cases". (2023), 338-345. https://doi.org/10.52312/jdrs.2023.936

APA	Yurtbay A, COSKUN H, Çinka H, ERDOĞAN F, büyükceran i, Dabak N (2023). The effect of adjuvant cryotherapy added to well-performed high-speed burr curettage on the long-term surgical outcomes of chondroblastoma cases. Joint diseases and related surgery, 34(2), 338 - 345. 10.52312/jdrs.2023.936
Chicago	Yurtbay Alparslan,COSKUN Huseyin Sina,Çinka Hikmet,ERDOĞAN Furkan,büyükceran ismail,Dabak Nevzat The effect of adjuvant cryotherapy added to well-performed high-speed burr curettage on the long-term surgical outcomes of chondroblastoma cases. Joint diseases and related surgery 34, no.2 (2023): 338 - 345. 10.52312/jdrs.2023.936
MLA	Yurtbay Alparslan,COSKUN Huseyin Sina,Çinka Hikmet,ERDOĞAN Furkan,büyükceran ismail,Dabak Nevzat The effect of adjuvant cryotherapy added to well-performed high-speed burr curettage on the long-term surgical outcomes of chondroblastoma cases. Joint diseases and related surgery, vol.34, no.2, 2023, ss.338 - 345. 10.52312/jdrs.2023.936
AMA	Yurtbay A,COSKUN H,Çinka H,ERDOĞAN F,büyükceran i,Dabak N The effect of adjuvant cryotherapy added to well-performed high-speed burr curettage on the long-term surgical outcomes of chondroblastoma cases. Joint diseases and related surgery. 2023; 34(2): 338 - 345. 10.52312/jdrs.2023.936
Vancouver	Yurtbay A,COSKUN H,Çinka H,ERDOĞAN F,büyükceran i,Dabak N The effect of adjuvant cryotherapy added to well-performed high-speed burr curettage on the long-term surgical outcomes of chondroblastoma cases. Joint diseases and related surgery. 2023; 34(2): 338 - 345. 10.52312/jdrs.2023.936
IEEE	Yurtbay A,COSKUN H,Çinka H,ERDOĞAN F,büyükceran i,Dabak N "The effect of adjuvant cryotherapy added to well-performed high-speed burr curettage on the long-term surgical outcomes of chondroblastoma cases." Joint diseases and related surgery, 34, ss.338 - 345, 2023. 10.52312/jdrs.2023.936
ISNAD	Yurtbay, Alparslan vd. "The effect of adjuvant cryotherapy added to well-performed high-speed burr curettage on the long-term surgical outcomes of chondroblastoma cases". Joint diseases and related surgery 34/2 (2023), 338-345. https://doi.org/10.52312/jdrs.2023.936