<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2306-4102</journal-id>
<journal-title><![CDATA[Acta ortopédica mexicana]]></journal-title>
<abbrev-journal-title><![CDATA[Acta ortop. mex]]></abbrev-journal-title>
<issn>2306-4102</issn>
<publisher>
<publisher-name><![CDATA[Colegio Mexicano de Ortopedia y Traumatología A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2306-41022016000500241</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Reemplazo articular en tumor de células gigantes. Reporte de ocho casos]]></article-title>
<article-title xml:lang="en"><![CDATA[Joint replacement and giant-cell tumor. Report of 8 cases]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martínez-Estrada]]></surname>
<given-names><![CDATA[JG]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Santamaría-Bahena]]></surname>
<given-names><![CDATA[O]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,ISSSTE Hospital Regional 1o de octubre Servicio de Ortopedia]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>10</month>
<year>2016</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>10</month>
<year>2016</year>
</pub-date>
<volume>30</volume>
<numero>5</numero>
<fpage>241</fpage>
<lpage>245</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2306-41022016000500241&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2306-41022016000500241&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2306-41022016000500241&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción:  El tumor de células gigantes es una neoplasia agresiva, representa aproximadamente entre 5 y 8.6% de los tumores óseos primarios. Más de 50% afecta la rodilla, pero puede afectar la totalidad de los huesos.  Objetivo: Se exponen ocho casos candidatos a amputación a los que se propuso reemplazo articular como una alternativa de salvamento.  Material y métodos: Se presentan ocho casos diagnosticados histopatológicamente en cadera y rodilla candidatos a amputación referidos por otros servicios. Se realizó resección en bloque y reemplazo articular de tipo tumoral de rodilla y cadera.  Resultados:  La evolución clínica y radiológica fue satisfactoria, se obtuvo buen resultado en los ocho casos sin complicaciones transoperatorias y postoperatorias, siendo lo más importante el salvamento de la extremidad pélvica con una mejor calidad de vida. Se muestran los resultados funcionales de las prótesis.  Discusión:  Son casos de salvamento de la extremidad con tumores destructivos en los que se evita la amputación con una recuperación de su vida normal en 80%.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Introduction:  The giant-cell tumor is an aggressive neoplasia, represents approximately from the 5 the 8.6% of primary bone tumors; more of 50% affects the pelvic extremity, being able to affect the totality of the bones.  Objective:  To present the case series of tumors around the knee and hip that we offered a tumoral joint replacement as an alternative to amputation.  Material and methods: We present eight cases of extensive giant cells tumors, we did en bloc resection and tumoral joint replacement.  Results:  The clinical and radiological evolution was satisfactory, without postoperative complications and the most important, avoided an amputation with a better quality of life.  Discussion:  Alternative reconstructive treatment option with a recovery to its normal life in a 80% and a low index of complications.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Tumor]]></kwd>
<kwd lng="es"><![CDATA[células gigantes]]></kwd>
<kwd lng="es"><![CDATA[salvamento]]></kwd>
<kwd lng="es"><![CDATA[prótesis]]></kwd>
<kwd lng="es"><![CDATA[cirugía]]></kwd>
<kwd lng="en"><![CDATA[Tumor]]></kwd>
<kwd lng="en"><![CDATA[giant-cell]]></kwd>
<kwd lng="en"><![CDATA[rescue]]></kwd>
<kwd lng="en"><![CDATA[joint replacement]]></kwd>
<kwd lng="en"><![CDATA[surgery]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Giant cell tumor of the sacrum]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Turcotte]]></surname>
<given-names><![CDATA[RE]]></given-names>
</name>
<name>
<surname><![CDATA[Sim]]></surname>
<given-names><![CDATA[FH]]></given-names>
</name>
<name>
<surname><![CDATA[Unni]]></surname>
<given-names><![CDATA[KK]]></given-names>
</name>
</person-group>
<source><![CDATA[Clin Orthop Relat Res]]></source>
<year>1993</year>
<numero>291</numero>
<issue>291</issue>
<page-range>215-21</page-range></nlm-citation>
</ref>
<ref id="B2">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Radiation therapy of giant cell tumor of bone analysis of 35 patients]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Chen]]></surname>
<given-names><![CDATA[ZX]]></given-names>
</name>
<name>
<surname><![CDATA[Gu]]></surname>
<given-names><![CDATA[DZ]]></given-names>
</name>
<name>
<surname><![CDATA[Yu]]></surname>
<given-names><![CDATA[ZH]]></given-names>
</name>
<name>
<surname><![CDATA[Qian]]></surname>
<given-names><![CDATA[TN]]></given-names>
</name>
<name>
<surname><![CDATA[Huang]]></surname>
<given-names><![CDATA[YR]]></given-names>
</name>
<name>
<surname><![CDATA[Hu]]></surname>
<given-names><![CDATA[YH]]></given-names>
</name>
</person-group>
<source><![CDATA[Int J Radiat Oncol Biol Phys]]></source>
<year>1986</year>
<volume>12</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>329-34</page-range></nlm-citation>
</ref>
<ref id="B3">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Giant-cell tumor of the appendicular skeleton]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ghert]]></surname>
<given-names><![CDATA[MA]]></given-names>
</name>
<name>
<surname><![CDATA[Rizzo]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Harrelson]]></surname>
<given-names><![CDATA[JM]]></given-names>
</name>
<name>
<surname><![CDATA[Scully]]></surname>
<given-names><![CDATA[SP]]></given-names>
</name>
</person-group>
<source><![CDATA[Clin Orthop Relat Res]]></source>
<year>2002</year>
<numero>400</numero>
<issue>400</issue>
<page-range>201-10</page-range></nlm-citation>
</ref>
<ref id="B4">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Primary total knee arthroplasty performed 20 years after treatment for giant cell tumor]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Lyall]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[El-Zebdeh]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Ireland]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<source><![CDATA[J Knee Surg]]></source>
<year>2009</year>
<volume>22</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>278-80</page-range></nlm-citation>
</ref>
<ref id="B5">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Intralesional curettage for grades II and III giant cell tumors of bone]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Lackman]]></surname>
<given-names><![CDATA[RD]]></given-names>
</name>
<name>
<surname><![CDATA[Hosalkar]]></surname>
<given-names><![CDATA[HS]]></given-names>
</name>
<name>
<surname><![CDATA[Ogilvie]]></surname>
<given-names><![CDATA[CM]]></given-names>
</name>
<name>
<surname><![CDATA[Torbert]]></surname>
<given-names><![CDATA[JT]]></given-names>
</name>
<name>
<surname><![CDATA[Fox]]></surname>
<given-names><![CDATA[EJ]]></given-names>
</name>
</person-group>
<source><![CDATA[Clin Orthop Relat Res]]></source>
<year>2005</year>
<volume>438</volume>
<page-range>123-7</page-range></nlm-citation>
</ref>
<ref id="B6">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Estudio radiológico simple en el diagnóstico del tumor de células gigantes en población pediátrica correlación anatomorradiológica]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Llanos]]></surname>
<given-names><![CDATA[CJ]]></given-names>
</name>
<name>
<surname><![CDATA[García]]></surname>
<given-names><![CDATA[BC]]></given-names>
</name>
<name>
<surname><![CDATA[Oyanedel]]></surname>
<given-names><![CDATA[QR]]></given-names>
</name>
<name>
<surname><![CDATA[Villanueva]]></surname>
<given-names><![CDATA[AE]]></given-names>
</name>
<name>
<surname><![CDATA[Otero]]></surname>
<given-names><![CDATA[OJ]]></given-names>
</name>
<name>
<surname><![CDATA[Fortune]]></surname>
<given-names><![CDATA[HJ]]></given-names>
</name>
</person-group>
<source><![CDATA[Rev Chil Radiol]]></source>
<year>2008</year>
<volume>14</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>62-7</page-range></nlm-citation>
</ref>
<ref id="B7">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Surgical treatment of benign bone tumors about the knee]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Weber]]></surname>
<given-names><![CDATA[KL]]></given-names>
</name>
</person-group>
<source><![CDATA[Tech Knee Surg]]></source>
<year>2003</year>
<volume>2</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>274-85</page-range></nlm-citation>
</ref>
<ref id="B8">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Progress in the treatment of giant cell tumor of bone]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Wurtz]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
</person-group>
<source><![CDATA[Curr Opin Orthop]]></source>
<year>1999</year>
<volume>10</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>474-80</page-range></nlm-citation>
</ref>
<ref id="B9">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Results of giant cell tumor of bone treated with intralesional excision]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Saiz]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Virkus]]></surname>
<given-names><![CDATA[W]]></given-names>
</name>
<name>
<surname><![CDATA[Piasecki]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Templeton]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Shott]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Gitelis]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<source><![CDATA[Clin Orthop Relat Res]]></source>
<year>2004</year>
<numero>424</numero>
<issue>424</issue>
<page-range>221-6</page-range></nlm-citation>
</ref>
<ref id="B10">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Treatment of giant cell tumor of long bones clinical outcome and reconstructive strategy for lower and upper limbs]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Muramatsu]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Ihara]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Taguchi]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
</person-group>
<source><![CDATA[Orthopedics]]></source>
<year>2009</year>
<volume>32</volume>
<numero>7</numero>
<issue>7</issue>
<page-range>491</page-range></nlm-citation>
</ref>
<ref id="B11">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Radiation therapy for giant cell tumors of bone]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Feigenberg]]></surname>
<given-names><![CDATA[SJ]]></given-names>
</name>
<name>
<surname><![CDATA[Marcus]]></surname>
<given-names><![CDATA[RB]]></given-names>
</name>
<name>
<surname><![CDATA[Zlotecki]]></surname>
<given-names><![CDATA[RA]]></given-names>
</name>
<name>
<surname><![CDATA[Scarborough]]></surname>
<given-names><![CDATA[MT]]></given-names>
</name>
<name>
<surname><![CDATA[Berrey]]></surname>
<given-names><![CDATA[BH]]></given-names>
</name>
<name>
<surname><![CDATA[Enneking]]></surname>
<given-names><![CDATA[WF]]></given-names>
</name>
</person-group>
<source><![CDATA[Clin Orthop Relat Res]]></source>
<year>2003</year>
<numero>411</numero>
<issue>411</issue>
<page-range>207-16</page-range></nlm-citation>
</ref>
<ref id="B12">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[The case Giant-cell tumor]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Gruenwald]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Demos]]></surname>
<given-names><![CDATA[TC]]></given-names>
</name>
<name>
<surname><![CDATA[Lomasney]]></surname>
<given-names><![CDATA[LM]]></given-names>
</name>
<name>
<surname><![CDATA[Rapp]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
</person-group>
<source><![CDATA[Orthopedics]]></source>
<year>2006</year>
<volume>29</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>167-71</page-range></nlm-citation>
</ref>
<ref id="B13">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Outcome in giant cell tumor of bone]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Banerjee]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
</person-group>
<source><![CDATA[Curr Opin Orthop]]></source>
<year>2007</year>
<volume>18</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>611-4</page-range></nlm-citation>
</ref>
<ref id="B14">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Local recurrence of giant cell tumor of bone after intralesional treatment with and without adjuvant therapy]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Knochentumoren]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Becker]]></surname>
<given-names><![CDATA[WT]]></given-names>
</name>
<name>
<surname><![CDATA[Dohle]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Bernd]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Braun]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Cserhati]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<source><![CDATA[J Bone Joint Surg Am]]></source>
<year>2008</year>
<volume>90</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>1060-7</page-range></nlm-citation>
</ref>
<ref id="B15">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Treatment of giant-cell tumors of long bones with curettage and bone-grafting]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Blackley]]></surname>
<given-names><![CDATA[HR]]></given-names>
</name>
<name>
<surname><![CDATA[Wunder]]></surname>
<given-names><![CDATA[JS]]></given-names>
</name>
<name>
<surname><![CDATA[Davis]]></surname>
<given-names><![CDATA[AM]]></given-names>
</name>
<name>
<surname><![CDATA[White]]></surname>
<given-names><![CDATA[LM]]></given-names>
</name>
<name>
<surname><![CDATA[Kandel]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Bell]]></surname>
<given-names><![CDATA[RS]]></given-names>
</name>
</person-group>
<source><![CDATA[J Bone Joint Surg Am]]></source>
<year>1999</year>
<volume>81</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>811-20</page-range></nlm-citation>
</ref>
<ref id="B16">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Giant cell tumor of bone treated by curettage, cementation, and bone grafting]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Pals]]></surname>
<given-names><![CDATA[SD]]></given-names>
</name>
<name>
<surname><![CDATA[Wilkins]]></surname>
<given-names><![CDATA[RM]]></given-names>
</name>
</person-group>
<source><![CDATA[Orthopedics]]></source>
<year>1992</year>
<volume>15</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>703-8</page-range></nlm-citation>
</ref>
<ref id="B17">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Giant cell tumor of long bone a Canadian Sarcoma Group study]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Turcotte]]></surname>
<given-names><![CDATA[RE]]></given-names>
</name>
<name>
<surname><![CDATA[Wunder]]></surname>
<given-names><![CDATA[JS]]></given-names>
</name>
<name>
<surname><![CDATA[Isler]]></surname>
<given-names><![CDATA[MH]]></given-names>
</name>
<name>
<surname><![CDATA[Bell]]></surname>
<given-names><![CDATA[RS]]></given-names>
</name>
<name>
<surname><![CDATA[Schachar]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Masri]]></surname>
<given-names><![CDATA[BA]]></given-names>
</name>
</person-group>
<source><![CDATA[Clin Orthop Relat Res]]></source>
<year>2002</year>
<numero>397</numero>
<issue>397</issue>
<page-range>248-58</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
