Wrist Reconstruction Using Free Vascularized Fibular Head Graft Following Intralesional Excision for Campanacci Grade 3 Giant Cell Tumors Involving the Articular Surface of the Distal Radius

2021 ◽  
Author(s):  
Jong Hun Baek ◽  
Duke Whan Chung ◽  
Turki Alhassan ◽  
Jae Hoon Lee
Keyword(s):  
Giant Cell ◽  
Distal Radius ◽  
Articular Surface ◽  
Fibular Head ◽  
Giant Cell Tumors ◽  
Grade 3

Features of Grade 3 Giant Cell Tumors of the Distal Radius Associated With Successful Intralesional Treatment

2010 ◽  
Vol 35 (11) ◽  
pp. 1850-1857 ◽  
Author(s):  
Lana Kang ◽  
Mark W. Manoso ◽  
Patrick J. Boland ◽  
John H. Healey ◽  
Edward A. Athanasian
Keyword(s):  
Giant Cell ◽  
Distal Radius ◽  
Giant Cell Tumors ◽  
Intralesional Treatment ◽  
Grade 3

scholarly journals Giant Cell Tumor of Bone: 6 Years Institutional Retrospective Review

2020 ◽  
Vol 6 (01) ◽  
pp. 12-17
Author(s):  
Nadeem Ali ◽  
Dar Ghulam Nabi ◽  
Azad Ahmad Shah ◽  
Altaf Ahmad Kawoosa ◽  
Mohammad Umar Mumtaz
Keyword(s):  
Giant Cell ◽  
Distal Radius ◽  
Proximal Tibia ◽  
Surgical Intervention ◽  
En Bloc Resection ◽  
Joint Involvement ◽  
Common Site ◽  
Giant Cell Tumors ◽  
En Bloc ◽  
Intralesional Curettage

Abstract Introduction Surgery is the cornerstone for the management of giant cell tumors (GCTs). There are no definite guidelines for the management. The purpose of this series was to study the patient demography and results of the surgical intervention for skeletal GCTs in our population. Materials and Methods All the histologically diagnosed cases of GCT of bone from year 2012 to 2018 were retrospectively analyzed for patient demographics, site, and grade of the lesion, type of biopsy taken (if any), nature of surgical intervention, and final outcome with respect to complications. Results Seventeen cases of skeletal GCT were diagnosed on histopathology. The mean age at presentation was 31.5 ± 10.9 years with females affected 1.4 times more. Proximal tibia was the most common site (29.4%) followed by distal radius and distal femur in that order. About 58.8% of the lesions were of Campanacci grade 2 and remaining were grade 3 lesions. Ten patients had extended curettage, five had en bloc resection, and one had amputation as the primary treatment. Twenty percent patients (n = 3) had local recurrence of the pathology and one patient developed distant recurrence (lung metastasis). Conclusion Proximal tibia followed by distal radius was the most common site of GCT in our population. The tumor behavior and recurrence cannot be predicted with any grading system. The goal should be salvage of the joint by intralesional curettage, with resection reserved for distal radius GCTs, cases with extensive soft tissue extension or those with destruction of the articular cartilage and joint involvement.

The proximal fibular free flap - an ideal material for reconstructing distal radius defect after Giant tumor cell resection. A case report

2021 ◽  
Vol 148 (12) ◽  
pp. 96-101
Author(s):  
Duong Manh Chien ◽  
Hoang Tuan Anh ◽  
Nguyen Tran Quang Sang ◽  
Phan Van Tan ◽  
Nguyen Huu Trong ◽  
...  
Keyword(s):  
Giant Cell Tumor ◽  
Giant Cell ◽  
Distal Radius ◽  
Free Flap ◽  
Wrist Joint ◽  
Cell Tumor ◽  
Joint Function ◽  
Giant Cell Tumors ◽  
Tumor Excision ◽  
Fibular Free Flap

Giant cell tumors (GCT) of the distal end of radius are relatively common tumors, representing approximately 5% of all primary bone tumors. It is the third most common location for GCT following distal femur and proximal tibia. In general, treatment includes thorough tumor excision, reconstruction of the defect, and wrist joint rehabilitation. The proximal fibular free flap is an ideal material for distal radius reconstruction after giant cell tumor excision. We present a case of a 57-year-old female, admitted to the hospital due to painful and limited proper wrist movement. Based on X-ray and Magnetic resonance imaging (MRI) images and histopathology findings, the patient was diagnosed with a stage 3 giant cell tumor of the distal radius. The patient underwent a one-step surgery of tumor excision and distal radius reconstruction by a vascularized proximal fibular free flap. 2 years follow-up post-surgery showed that the patient had no pain of the wrist, improved wrist joint function, no sign of recurrence, and good flap vitality and the knee joint remains normal. In conclusion, the surgery was successful with no further prolonged pain, improvement of the wrist joint function and overall improvement of the patient quality of life.

Fibulo-Scapho-Lunate Arthrodesis as a Motion-Preserving Procedure after Tumour Resection of the Distal Radius

2002 ◽  
Vol 27 (6) ◽  
pp. 573-576 ◽  
Author(s):  
B. BICKERT ◽  
CH. HEITMANN ◽  
G. GERMANN
Keyword(s):  
Distal Radius ◽  
Articular Surface ◽  
Joint Surface ◽  
Tumour Resection ◽  
Fibular Head ◽  
Established Method ◽  
Wrist Fusion

Free microvascular fibula transfer is an established method for reconstruction of the distal radius following tumour resection. If the radial articular surface is resected, fixation of the fibula to the carpus is either performed as a complete wrist fusion, or the fibular head is transferred together with the shaft to replace the radial joint surface, thus allowing some wrist mobility but providing only limited wrist stability. Fibulo-scapho-lunate fusion represents an alternative. This reconstruction in two patients provided excellent wrist stability and a functional range of midcarpal motion.

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