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Journal of Bone and Joint Surgery - British Volume, Vol 87-B, Issue 7, 974-978.
doi: 10.1302/0301-620X.87B7.16009  
Copyright © 2005 by British Editorial Society of Bone and Joint Surgery
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Chondroblastoma of bone

LONG-TERM RESULTS AND FUNCTIONAL OUTCOME AFTER INTRALESIONAL CURETTAGE

R. Suneja, FRCS, Specialist Registrar1; R. J. Grimer, FRCS, Consultant Orthopaedic Surgeon1; M. Belthur, FRCS, Specialist Registrar1; L. Jeys, FRCS, Specialist Registrar1; S. R. Carter, FRCS, Consultant Orthopaedic Surgeon1; R. M. Tillman, FRCS, Consultant Orthopaedic Surgeon1; and A. M. Davies, FRCR, Consultant Radiologist1

1 The Royal Orthopaedic Hospital Oncology Service, Bristol Road South, Birmingham B31 2AP, UK.

Correspondence should be sent to Mr R. J. Grimer; e-mail: rob.grimer{at}roh.nhs.uk

We undertook this retrospective study to determine the rate of recurrence and functional outcome after intralesional curettage for chondroblastoma of bone. The factors associated with aggressive behaviour of the tumour were also analysed. We reviewed 53 patients with histologically-proven chondroblastoma who were treated by intralesional curettage in our unit between 1974 and 2000. They were followed up for at least two years to a maximum of 27 years.

Seven (13.2%) had a histologically-proven local recurrence. Three underwent a second intralesional curettage and had no further recurrence. Two had endoprosthetic replacement of the proximal humerus and two underwent below-knee amputation after aggressive local recurrence. One patient had the rare malignant metastatic chondroblastoma and eventually died. The mean Musculoskeletal Tumour Society functional score of the survivors was 94.2%.

We conclude that meticulous intralesional curettage alone can achieve low rates of local recurrence and excellent long-term function.






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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General