open access

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

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.

How to Cite
NARANG, Sagar; NARANG, Neeta Varandani. Soft-tissue Necrosis Complicating Bone-cement Filling in a Patient with Proximal Tibia Giant cell Tumour and Co-morbid Depressive Illness. Journal of Lumbini Medical College, [S.l.], v. 1, n. 2, p. 120 - 124, dec. 2013. ISSN 2542-2618. Available at: <https://jlmc.edu.np/index.php/JLMC/article/view/35>. Date accessed: 26 sep. 2017.