Free vascularized fibular graft for replacement of the radius after excision of giant cell tumor: Case report

Microsurgery ◽  
1981 ◽  
Vol 3 (1) ◽  
pp. 48-53 ◽  
Author(s):  
Tadahiko Okada ◽  
Sadao Tsukada ◽  
Kazunori Obara ◽  
Yukio Yasuda ◽  
Yoshiaki Kitayama
2019 ◽  
Vol 1 (4) ◽  
Author(s):  
Prisca Oriana Sutanto ◽  
Agus Roy Rusli Hamid ◽  
Adinda Putra Pradhana

Giant cell tumor (GCT) of the distal radius is a rare and unpredictable lesion. The aim of treatment is complete removal of the tumor and preservation of the maximum function of the extremity. Lower rates of local recurrence have been noted after wide resection of the diseased bone. Its standard treatment has ranged from surgical curettage to wide resection. One method for closing the defect is using the head of the fibula as a substitute for the distal radius. The healing of vascularized fibular graft is very quick and without bone resorption. Thus, in the procedure for reconstruction and limb salvage after bone tumor resection of the distal radius, the free vascularized fibular graft with the fibular head is an ideal substitute. This case report will show a patient with GCT that successfully treated by an excision of GCT followed by reconstruction of distal radius using free vascularized fibular graft.


2021 ◽  
Vol 5 (1) ◽  
pp. 27-31
Author(s):  
Elena Lucattelli ◽  
◽  
Stefano Bastoni ◽  
Luca Delcroix ◽  
Fabio Sciancalepore ◽  
...  

Giant-cell tumor (GCT) is locally aggressive bone neoplasm, with an unpredictable pattern of biological aggressiveness. The optimal treatment had to achieve a negligible local recurrence rate while maximizing musculoskeletal function. Numerous options for reconstruction are available, but in the literature there is a lack of salvage surgery data. We present a case of a 67-year-old woman who underwent complete wrist arthrodesis with vascularized fibular graft as salvage procedure for allograft necrosis, after excision of a distal radius GCT. The patient did not complain of any impairment in daily use, and the functional score was 22 points (73%) at latest follow-up of 14 months. Despite joint salvage remains the most favorable treatment with regard to functional outcome for aggressive tumors of the distal radius, vascularized fibular grafts is a valuable alternative especially in salvage procedures, where the use of another allograft could lead to higher complications rate. Keywords: Vascularized fibular graft, Wrist arthrodesis, Giant-Cell Tumor, Fibula free flap.


Microsurgery ◽  
2005 ◽  
Vol 25 (2) ◽  
pp. 121-125 ◽  
Author(s):  
Guang-Rong Yu ◽  
Feng Yuan ◽  
Shi-Min Chang ◽  
William C. Lineaweaver ◽  
Feng Zhang

1999 ◽  
Vol 359 ◽  
pp. 189-196 ◽  
Author(s):  
Koichiro Ihara ◽  
Kazuteru Doi ◽  
Kazuhiro Sakai ◽  
Manabu Yamamoto ◽  
Tsukasa Kanchiku ◽  
...  

1997 ◽  
Vol 99 (4) ◽  
pp. 1086-1093 ◽  
Author(s):  
Hiroshi Ono ◽  
Hiroshi Yajima ◽  
Sigeru Mizumoto ◽  
Yoshizumi Miyauchi ◽  
Yoshio Mii ◽  
...  

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