scholarly journals Radius' Giant Cell Tumor: Allograft with Conservation of Distal Radioulnar Joint

2019 ◽  
Vol 08 (03) ◽  
pp. 215-220 ◽  
Author(s):  
S. Ruatti ◽  
M. Boudissa ◽  
P. Grobost ◽  
G. Kerschbaumer ◽  
J. Tonetti
Keyword(s):  
Range Of Motion ◽  
Giant Cell Tumor ◽  
Giant Cell ◽  
Distal Radius ◽  
Functional Results ◽  
Distal Radioulnar Joint ◽  
Cell Tumor ◽  
The Other ◽  
Radioulnar Joint

Purpose Giant cell tumor of the distal radius are frequent lesions, and different types of surgeries have been described. Functional results, after conservative treatment or arthrodesis, often find a decreased strength and range of motion. The sacrifice of the distal radioulnar joint could be one of the causes. We report the case of a 26-year-old patient who presented with a Campanacci Grade III giant cell tumor of the distal radius. We managed his case by the association of en bloc resection and allograft reconstruction with the preservation of distal radioulnar joint. Hypothesis This procedure could improve functional results, without increasing the risk of recurrence at 2 years follow-up. Case Report The originality of our technique was the possibility of distal radioulnar joint conservation. We preserved a long portion of cortex bone all through the ulnar side of the distal radius. We then used an allograft of distal radius, fixed by a reconstruction anatomical plate. Results At 2 years follow-up, the range of motion was 100° with 60° of palmar flexion, 40° of extension, 75° of pronation, and 70° of supination. Radial and ulnar inclination were 10 and 15°, respectively. MTS (Musculoskeletal Tumor Society Score) 1993 was 88% and DASH score was 6. Concerning grip strength, it was measured at 85% in comparison with the other side. Pronation and supination strengths were 80 and 73%, respectively, in comparison with the other side. At follow-up, standard X-rays showed no recurrence. The allograft was well integrated. Conclusion Conservative treatment of the distal radioulnar joint allowed an almost ad integrum recovery, concerning strengths and range of motion. It allows a better functional recovery, without increasing the risk of recurrence.

scholarly journals Giant Cell Tumor of Bone: Oncological and Functional Results of Long-term Follow-up

1998 ◽  
Vol 28 (5) ◽  
pp. 323-328 ◽  
Author(s):  
Y. Oda ◽  
H. Miura ◽  
M. Tsuneyoshi ◽  
Y. Iwamoto
Keyword(s):  
Giant Cell Tumor ◽  
Giant Cell ◽  
Functional Results ◽  
Cell Tumor ◽  
Long Term Follow Up

scholarly journals Penatalaksanaan Giant Cell Tumor pada Distal Radius: Sebuah Laporan Kasus

2019 ◽  
Vol 3 (1) ◽  
pp. 6
Author(s):  
Yuliaji Narendra Putra ◽  
Rahadyan Magetsari
Keyword(s):  
Bone Graft ◽  
Range Of Motion ◽  
Giant Cell Tumor ◽  
Giant Cell ◽  
Distal Radius ◽  
Cell Tumor ◽  
Radius Distal

Latar belakang: giant cell tumor adalah suatu tumor jinak tulang yang meskipun jarang menyebabkan kematian, tetapi berpotensi untuk menjadi agresif dan mempunyai kemampuan untuk bermetastasis. Kasus: seorang perempuan berusia 20 tahun datang ke rumah sakit dengan keluhan terdapat benjolan di pergelangan tangan sebelah kiri yang telah berlangsung selama 6 bulan. Benjolan tersebut semakin lama dirasakan semakin membesar dan nyeri namun tidak mengganggu pergerakan dari pergelangan tangan. Pada pemeriksaan fisik ditemukan massa solid berukuran 5x3x2 cm dengan kesan terfiksir tulang tanpa tanda peradangan. Range of motion sendi pergelangan tangan masih dalam batas normal. Pada pemeriksaan radiologi ditemukan ekspansil, osteolitik ekstraosseus, serta lesi radiolusen tanpa batas sklerotik, dan reaksi periosteal pada akhir distal radius. Pasien ini didiagnosis dengan giant cell tumor radius distal kiri, kemudian dilakukan penanganan berupa eksisi tumor dan rekonstruksi dengan auto bone graft dari fibula. Evaluasi rutin selama 5 tahun menunjukkan hasil yang baik yang mana tidak tampak tanda-tanda rekurensi, tidak ada reaksi penolakan graft, dan range of motion sendi pergelangan tangan tetap dalam batas normal. Simpulan: tatalaksana giant cell tumor dengan eksisi dan rekonstruksi menggunakan auto bone graft menunjukkan hasil yang baik dan memuaskan.

scholarly journals Giant cell tumor of distal radius treated with ulnar translocation and wrist arthrodesis

2017 ◽  
Vol 25 (1) ◽  
pp. 230949901668497 ◽  
Author(s):  
Abhijeet Ashok Salunke ◽  
Jaymin Shah ◽  
Vikas Warikoo ◽  
Amit Chakraborty ◽  
Harshwardhan Pokharkar ◽  
...  
Keyword(s):  
Giant Cell Tumor ◽  
Giant Cell ◽  
Distal Radius ◽  
Functional Outcomes ◽  
Soft Tissues ◽  
Cell Tumor ◽  
Musculoskeletal Tumor Society ◽  
Wrist Arthrodesis ◽  
The Mean

Introduction: The aim is to analyze the functional outcomes of patients of giant cell tumor (GCT) of distal radius treated with ulnar translocation and wrist arthrodesis. Methods: Study included 25 patients of aggressive GCT of distal radius, resected and reconstructed using ulnar translocation and wrist arthrodesis. The ulna-carpal radius fixation was performed with plate and screws. The patients were followed to bony union and minimum follow-up was 1 year. Result: Twenty-two patients were of Campanacci grade 3 and three patients were of Campanacci grade2. The mean follow-up was of 23 months (12–36). All patients had an excellent range of pronation and supination. The mean Musculoskeletal Tumor Society score was 24 (range 22–28). Grip strength of affected hand compared to the contra lateral hand was found good in 17 cases and average in 7 cases. The mean bone union time at ulna to radius junction was at 6.5 (5–8) months and ulna to carpal junction at 4.5 (4–6) months. The complications were surgical site infection (one case), recurrence (one case) and failure of union (one case), and ulna graft fracture with implant failure in (two cases). Conclusion: Reconstruction of distal end of radius using ulnar translocation and wrist arthrodesis provides excellent functional outcomes with preservation of rotational movement of forearm and hand function. Reconstruction of the distal radius by ulnar translocation without complete detachment from surrounding soft tissues functions like vascularized graft without use of microvascular techniques.

scholarly journals Distal radioulnar joint arthroplasty after primary excision of a giant cell tumor of distal ulna: A case report

2020 ◽  
Vol 2 (2) ◽  
pp. 28-32
Author(s):  
Rui Viegas ◽  
Pedro Amaro ◽  
José Nuno Ferreira ◽  
José Caldeira ◽  
Pedro Falcão ◽  
...  
Keyword(s):  
Case Report ◽  
Giant Cell Tumor ◽  
Giant Cell ◽  
Distal Radioulnar Joint ◽  
Joint Arthroplasty ◽  
Cell Tumor ◽  
Distal Ulna ◽  
Radioulnar Joint

scholarly journals Giant cell tumor distal end radius: resection and reconstruction using proximal fibular graft

2021 ◽  
Vol 7 (2) ◽  
pp. 409
Author(s):  
Rahul Bharadwaj ◽  
Vipin Sharma ◽  
Narinder Singh ◽  
Narinder Singh
Keyword(s):  
Range Of Motion ◽  
Giant Cell Tumor ◽  
Giant Cell ◽  
Giant Cell Tumour ◽  
Wrist Joint ◽  
Cell Tumor ◽  
Fibular Graft ◽  
Primary Tumors ◽  
One Year

<p>Giant cell tumour forms 4% of all primary tumors. GCT distal radius is very rare. Current study presents a case of a 27 year female who was managed by wide excision and reconstruction with ipsilateral fibula. At one year follow up, patient had excellent range of motion at wrist joint and hand.</p>

Management of Giant Cell Tumor of the Tarsal Bones: A Report of Nine Cases and a Review of the Literature

Foot & Ankle ◽  
1993 ◽  
Vol 14 (5) ◽  
pp. 265-272 ◽  
Author(s):  
Mandeep S. Dhillon ◽  
Baldev Singh ◽  
Shivinder S. Gill ◽  
Ranjana Walker ◽  
Onkar Nath Nagi
Keyword(s):  
Giant Cell Tumor ◽  
Giant Cell ◽  
Bone Grafting ◽  
Cell Tumor ◽  
The Other ◽  
Review Of The Literature ◽  
Giant Cell Tumors ◽  
Surgical Measures ◽  
Tarsal Bones

Giant cell tumor of the tarsal bones is uncommon and therapeutic options are ill defined. We report on nine cases of giant cell tumors of the tarsal bones treated by excision of the complete bone in 6 cases, partial excision in 1 case, and curettage and bone grafting in two cases. There was no recurrence at an average 25.8-month follow-up. Function after calcanectomy was satisfactory. Excision of the talus may or may not be followed by arthrodesis, but arthrodesis is essential after excision of all the other tarsal bones except the calcaneus. We advocate aggressive surgical measures in these cases; amputation should be reserved for recurrences only. Satisfactory function may be expected after excision of tarsal bones.

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