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He was treated by intralesional resection, curettage of the margins, and bone cement packing.
We performed intralesional partial resection of the ilium and sacrum followed by bone cement packing 4 months after biopsy.
He was initially treated by curettage and bone cement packing but developed femoral head necrosis with constant hip pain.
The treatment of choice is intralesional curettage and bone cement packing leading to a local recurrence rate of 10 to 40% [ 1, 19, 20]; treatment options are limited and recurrence rates are higher when GCT arises at a surgical inaccessible location (e.g. spine and sacrum).
The most common treatment regimen was group A: intralesional curettage followed by filling of the defect with bone cement (6 cases). 1 of them (case 3) was referred to us due to local infection after biopsy, and was treated by curettage and bone cement packing.
A recent study has shown that the lowest rates in local recurrence (approximately 10%) are achieved by intralesional curettage followed by a combination of different adjuncts such as high-speed burring, lavage with hydrogen peroxide (H2O2), and bone cement packing (polymethyl methacrylate; PMMA) (Balke et al. 2008b).
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Additionally, 2 g of antibiotics per cement pack were added in powder form after cement mixing and during molding the spacers (Table 1).
The mixed cement was packed into the tubes using a nonsurgical manual MTA carrier (Dentsply Tulsa Dental, Tulsa, OK, USA) and hand pressure [ 26, 27].
Limestone cement with high packing density was developed to maximize binder properties in spite of increased limestone contents.
Therefore, by using the method suggested in this research, the viscosity of a given mortar can be predicted by measuring the viscosity of cement paste and packing density of fine aggregate.
For mortar, under this research scope, in which the mortar is a suspension of fine aggregate to cement paste, the packing density of each dried sand sample was measured by following method: 1. Fill the fine aggregate sample in a 1-L steel cylinder and measure its weight.
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