Arthroscopic burring of exposed cement following curettage and cavity filling cementation for chondroblastoma of the proximal tibia

Knee Surg Relat Res. 2015 Mar;27(1):61-4. doi: 10.5792/ksrr.2015.27.1.61. Epub 2015 Mar 2.

Abstract

Chondroblastoma of the proximal tibia is difficult to treat because of its epiphyseal predilection. This condition can be treated by curettage, which results in immediate restoration of stability and a reduced recurrence rate, followed by cement filling of the bone defect. Nevertheless, contact with cement can damage articular cartilage, potentially leading to severe knee osteoarthritis. Most previous reports regarding this complication described patients with giant cell tumors of the proximal tibia. We present here a patient who underwent arthroscopic treatment for cement exposure caused by articular cartilage loss of the tibial plateau, which occurred after initial curettage and cementation for chondroblastoma of the proximal tibia. To our knowledge, this is the first report on arthroscopic treatment of this condition.

Keywords: Arthroscopy; Chondroblastoma; Polymethyl methacrylate; Tibia.