PROSPECTIVE SHORT TERM ANALYSIS OF FUNCTIONAL OUTCOME IN BENIGN BONE TUMOURS MANAGED WITH CURETTAGE AND ILIAC CREST AUTOGRAFT

Abstract

Benign bone tumours are commonly treated with curettage and bone grafting to eliminate the disease and to prevent pathological fractures. The aim of our research is to study the functional outcome in management of benign bone tumours with curettage and iliac crest bone graft. 15 patients with benign bone tumours managed with curettage and iliac crest bone grafting were prospectively analyzed from July 2014 to December 2015 in government general hospital, Chennai. The variables taken were age, sex, location of the tumour, type and stage of the tumour. Amount of bony   incorporation and period of bony union were assessed with serial x-rays and functional outcome were evaluated with Ennekings functional scoring. We found better bony             integration with giant cell tumour when compared to other benign tumours. Younger the age of the patient, better was the bony incorporation. More than 50 percentage of the  patients had excellent functional results as per Ennekings scoring. None of the patients had recurrence at 1 yr follow up. Thus we conclude that, in established bone tumours treated with curettage, iliac crest autograft is ideal to maintain the structural and functional continuity.