Functional outcome of en bloc excision and custom prosthetic replacement for giant cell tumor of the distal radius

2015 ◽  
Vol 20 (6) ◽  
pp. 1090-1097 ◽  
Author(s):  
Shuai Zhang ◽  
Mei-tao Xu ◽  
Xu-quan Wang ◽  
Jia-jia Wang
Keyword(s):  
Functional Outcome ◽  
Giant Cell Tumor ◽  
Giant Cell ◽  
Distal Radius ◽  
Cell Tumor ◽  
Prosthetic Replacement ◽  
En Bloc ◽  
En Bloc Excision ◽  
Bloc Excision

scholarly journals En-bloc excision of Giant Cell Tumors of the distal radius and arthrodesis of the translocated ipsilateral ulna: A report of two cases

2021 ◽  
Vol 5 (4) ◽  
pp. 13-18
Author(s):  
Eva Campos-Pereira ◽  
◽  
João Vale ◽  
Tiago Amorim-Barbosa ◽  
Filipe Rodrigues ◽  
...  
Keyword(s):  
Giant Cell Tumor ◽  
Giant Cell ◽  
Distal Radius ◽  
Cell Tumor ◽  
Giant Cell Tumors ◽  
En Bloc ◽  
Musculoskeletal Tumor Society ◽  
En Bloc Excision ◽  
Bloc Excision ◽  
One Year

The distal radius is the third most common site of giant cell tumor of bone (GCTB). The local aggressive invasion of this rare neoplasm requires reconstructive solutions after wide excision. The authors present two cases of patients diagnosed with Campanacci grade III GCTB of the distal radius successfully treated with en-bloc excision and translocation of the ipsilateral ulna. Pre-operative application of denosumab was given for one year to both patients. At one year of follow-up, both patients are disease-free and reported satisfactory results on Quick - Disabilities of the Arm, Shoulder and Hand (Quick-DASH) questionnaire and modified Musculoskeletal Tumor Society (MSTS) score. Although a challenge, the reported procedure offers good oncological and functional outcomes. Keywords: Giant cell tumor of bone; distal radius; en-bloc excision; translocation; ipsilateral ulna; wrist arthrodesis

scholarly journals Retrospective analysis of giant cell tumor lower end radius treated with En bloc excision and translocation of ulna

2018 ◽  
Vol 52 (1) ◽  
pp. 10 ◽  
Author(s):  
Amit Vyas ◽  
Purnima Patni ◽  
Narender Saini ◽  
Rahul Sharma ◽  
Vinit Arora ◽  
...  
Keyword(s):  
Giant Cell Tumor ◽  
Retrospective Analysis ◽  
Giant Cell ◽  
Cell Tumor ◽  
En Bloc ◽  
En Bloc Excision ◽  
Bloc Excision

scholarly journals A Systematic Review and Meta-Analysis of En-Bloc vs Intralesional Resection for Giant Cell Tumor of Bone of the Distal Radius

2013 ◽  
Vol 7 (1) ◽  
pp. 103-108 ◽  
Author(s):  
Theresa J.C Pazionis ◽  
Hussain Alradwan ◽  
Benjamin M Deheshi ◽  
Robert Turcotte ◽  
Forough Farrokhyar ◽  
...  
Keyword(s):  
Giant Cell Tumor ◽  
Giant Cell ◽  
Distal Radius ◽  
Wrist Joint ◽  
Meta Analysis ◽  
En Bloc Resection ◽  
Cell Tumor ◽  
En Bloc ◽  
Intralesional Curettage ◽  
Functional Benefit

Introduction: Surgical management of Giant Cell Tumor of Bone of the distal radius (GCTDR) remains controversial due to risk of local recurrence (LR) offset by functional limitations which result from en-bloc resection. This study aims to determine the oncologic and functional outcomes of wide excision (WE) vs intralesional curettage (IC) of GCTDR. Methods: A complete search of the applicable literature was done. Included studies reported on patients from the same cohort who were surgically treated for GCTDR with WE or IC. Two reviewers independently assessed all papers. The primary outcome measure was LR. Results: One-hundred-forty-one patients from six studies were included: 60 treated with WE, and 81 with IC. Five WE patients (8%) suffered LR whereas 25 IC patients (31%) did. The odds of LR were three times less in the WE group vs the IC group. MSTS1993 scores, where available, were on average 'good' with WE and 'excellent' with IC. Conclusions: Within statistical limitations the data support an attempt, where feasible, at wrist joint preservation and superior function with IC. Intralesional curettage is reasonable when the functional benefit outweighs the risk of recurrence as is the case in many cases of GCT of the distal radius.

scholarly journals En bloc giant cell tumor resection following direct hemiarthroplasty shoulder reconstruction–functional outcome: A case report

2019 ◽  
Vol 61 ◽  
pp. 202-206 ◽  
Author(s):  
Muhammad Andry Usman ◽  
Andi Dhedie Prasatia Sam ◽  
Marcell Wijaya ◽  
Roichan Muhammad Firdaus ◽  
Khrisna Yudha
Keyword(s):  
Case Report ◽  
Functional Outcome ◽  
Giant Cell Tumor ◽  
Giant Cell ◽  
Tumor Resection ◽  
Cell Tumor ◽  
En Bloc ◽  
Shoulder Reconstruction

Vascularized Iliac Bone Lining in Downgraded Treatment of Campanacci Grade III Giant Cell Tumor of the Distal Radius

2018 ◽  
Vol 23 (02) ◽  
pp. 255-258
Author(s):  
Kazufumi Sano ◽  
Kazumasa Kimura ◽  
Satoru Ozeki
Keyword(s):  
Giant Cell Tumor ◽  
Giant Cell ◽  
Distal Radius ◽  
En Bloc Resection ◽  
Bloc Resection ◽  
Cell Tumor ◽  
Iliac Bone ◽  
En Bloc ◽  
Intralesional Curettage ◽  
Grade Iii

It is commonly accepted that wide en bloc resection followed by reconstruction is essential in progressive lesions (Campanacci grade III) for local control of possible recurrence. However, specific grade III can be downgraded and treated with intralesional curettage to preserve better wrist function, without increasing the recurrency rates. In this report, Grade III giant cell tumor of the distal radius was successfully treated using vascularized osseous graft from the inner lip of the iliac bone in addition to downgrading strategy.

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