Soft-tissue Necrosis Complicating Bone-cement Filling in a Patient with Proximal Tibia Giant cell Tumour and Co-morbid Depressive Illness

  • Sagar Narang Lumbini Medical College
  • Neeta Varandani Narang Lumbini Medical College
Keywords: bone cement, depression, giant cell tumor, proximal tibia, skin burn

Abstract

Giant-cell tumors are common around the knee. Proximal tibia is a challenging location for limb-salvage due to paucity of soft-tissue cover. Bone cement has been used in treatment of giant-cell tumors after curettage. Tissue irritant properties of its monomer and exothermic reaction involved in polymerization may compromise surgical outcome to varying degrees. Preoperative planning and intra-operative positioning during cementing process are of importance to avoid complications. Co-occurrence of psychiatric illness in tumor patients should be managed by psychiatric counselling and drug therapy. This case has been presented to suggest measures for preventing soft-tissue complications during cement filling in proximal tibia, and for dealing with concomitant psychiatric problems for a holistic improvement in tumor patients.

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Author Biographies

Sagar Narang, Lumbini Medical College

Associate Professor

Department of Orthopaedic Surgery

Neeta Varandani Narang, Lumbini Medical College

Assistant Professor

Department of Psychiatry

Published
2013-12-30
How to Cite
1.
Narang S, Narang N. Soft-tissue Necrosis Complicating Bone-cement Filling in a Patient with Proximal Tibia Giant cell Tumour and Co-morbid Depressive Illness. J Lumbini Med Coll [Internet]. 30Dec.2013 [cited 25Sep.2020];1(2):120 -124. Available from: https://jlmc.edu.np/index.php/JLMC/article/view/35
Section
Case Report