En bloc resection and vascularized ulnar pedicle graft reconstruction with plate fixation for giant cell tumour of the distal radius

2022 ◽  
pp. 175319342110686
Author(s):  
Thanapon Chobpenthai ◽  
Chai-Sit Intuwongs ◽  
Siravich Suvithayasiri ◽  
Pichaya Thanindratarn ◽  
Termphong Phorkhar
Keyword(s):  
Giant Cell ◽  
Distal Radius ◽  
Giant Cell Tumour ◽  
Plate Fixation ◽  
En Bloc Resection ◽  
Bloc Resection ◽  
Cell Tumour ◽  
Bony Union ◽  
Reconstruction Method ◽  
En Bloc

We retrospectively reviewed the medical records of ten patients (five men and five women) who were treated in our unit for Campanacci Grade III giant cell tumour of the distal radius between July 2017 and December 2019. Following en bloc resection of a giant cell tumour of the distal radius, the wrist was reconstructed by transposing a vascularized pedicle graft from the ipsilateral ulnar shaft. The graft was fixed to the radial shaft and proximal carpal row with plates. At a mean follow-up of 23.5 months (range 18 to 31), bony union was achieved in all cases and there were no tumour recurrences. All patients had a good range of pronation and supination, but flexion and extension of the wrist was limited. DASH scores ranged from 5 to 11. This reconstruction method is a safe and effective procedure that provides good aesthetic outcomes, removes the need for microvascular techniques and reduces donor site morbidity. Level of evidence: IV

Functional outcome of en bloc resection of a giant cell tumour of the distal radius and arthrodesis of the wrist and distal ulna using an ipsilateral double barrel segmental ulna bone graft combined with a modified Sauve-Kapandji procedure

2016 ◽  
Vol 42 (4) ◽  
pp. 377-381 ◽  
Author(s):  
W. Zhang ◽  
J. Zhong ◽  
D. Li ◽  
C. Sun ◽  
H. Zhao ◽  
...  
Keyword(s):  
Bone Graft ◽  
Giant Cell ◽  
Distal Radius ◽  
Giant Cell Tumour ◽  
Operative Procedure ◽  
En Bloc Resection ◽  
Bloc Resection ◽  
Cell Tumour ◽  
En Bloc ◽  
Level Of Evidence

Giant cell tumour of the distal radius is a locally aggressive lesion. In this study, we performed a wrist arthrodesis reconstruction with an ipsilateral double barrel segmental ulnar bone graft combined with a modified Sauve-Kapandji procedure for a giant cell tumour of the distal radius. From January 2007 to September 2013, we followed eight patients for a mean duration of 36 months. One patient developed a recurrence and was treated by amputation; the other seven patients achieved radiological union in about 8 months. There was no wrist instability, deformation or dislocation; the mean range of motion of the forearm achieved 75° of supination and 70° of pronation. The patients could recover reasonable grip strength. This new operative procedure can excise the tumour with a low rate of recurrence, fewer functional deficits and fewer complications than reported for other procedures. Level of evidence: IV, therapeutic

Recurrent Metacarpal Giant Cell Tumour Treated by En Bloc Resection and Metatarsal Transfer

1998 ◽  
Vol 23 (2) ◽  
pp. 275-278 ◽  
Author(s):  
J. PARDO-MONTANER ◽  
A. PINA-MEDINA ◽  
M. BARCELO-ALCAIÑIZ
Keyword(s):  
Giant Cell ◽  
Giant Cell Tumour ◽  
En Bloc Resection ◽  
Bloc Resection ◽  
Cell Tumour ◽  
En Bloc ◽  
Giant Cell Tumours ◽  
Risk Of Malignancy

Recurrent giant-cell tumours of bone have a higher risk of malignancy than primary giant-cell tumours of bone, and giant-cell tumours of bone in the hand are more likely to recur than those that arise elsewhere. Therefore, en bloc resection and reconstruction, or amputation, have been the accepted treatments for recurrent giant-cell tumours of bone in the hand. We describe two cases of successful transplantion of a metatarsal to a metacarpal, which was the site of a recurrent giant-cell tumour. The patients had satisfactory results 3 years later without problems in the foot. En bloc resection of the tumour and reconstruction with an autograft should be considered in the treatment of recurrent giant cell tumour of the hand.

Giant cell tumour of EHL tendon sheath in young: a rare case report and review of the literature

2021 ◽  
Vol 14 (9) ◽  
pp. e242980
Author(s):  
Subodh Kumar Pathak ◽  
Abhijeet Ashok Salunke ◽  
Jagandeep Singh Virk ◽  
Naveen Kumar
Keyword(s):  
Giant Cell ◽  
Giant Cell Tumour ◽  
Tendon Sheath ◽  
En Bloc Resection ◽  
Bloc Resection ◽  
Cell Tumour ◽  
Tumour Mass ◽  
En Bloc ◽  
Second Metatarsal ◽  
Rare Case Report

Giant cell tumour of tendon sheath also known as benign synovioma is a slow-growing benign tumour originating from tendon sheath, ligaments or bursa. We present a case of swelling over the left foot of 7-month duration in 11-year-old boy diagnosed as giant cell tumour of tendon sheath. There was an extensive pressure effect of tumour mass on the second metatarsal evident by scalloping. Local excision was planned and executed, and reduction in scalloping was evident at 26-month follow-up with no recurrence. We conclude that en bloc resection of tumour with a hydrogen peroxide lavage may result in a favourable prognosis without recurrence.

scholarly journals Recurrent giant cell tumour of the distal ulna after en bloc resection with preoperative denosumab use

2021 ◽  
Vol 14 (11) ◽  
pp. e245022
Author(s):  
Nasa Fujihara ◽  
Shunsuke Hamada ◽  
Masahiro Yoshida ◽  
Satoshi Tsukushi
Keyword(s):  
Soft Tissue ◽  
Giant Cell ◽  
Giant Cell Tumour ◽  
En Bloc Resection ◽  
Bloc Resection ◽  
Cell Tumour ◽  
Distal Ulna ◽  
En Bloc ◽  
Grade Ii ◽  
Grade Iii

In recent years, denosumab has been used to treat giant cell tumour of bone (GCTB) not only in cases where surgery is complicated but also preoperatively to decrease the preoperative grade or to facilitate surgery for Campanacci grade II and III cases. However, there are no clear protocols regarding the preoperative use of denosumab before en bloc resection. There are a few reports of recurrent cases after en bloc resection; however, the association with the use of denosumab is unknown. We present the clinical, radiological and histopathological findings of a case of Campanacci grade III GCTB at the distal end of the ulna, which resulted in soft tissue recurrence after en bloc resection with the preoperative use of denosumab.

Ulnar Buttress Athroplasty for Reconstruction after Resection of the Distal Ulna for Giant Cell Tumour

1996 ◽  
Vol 21 (2) ◽  
pp. 213-215 ◽  
Author(s):  
H. HASHIZUME ◽  
A. KAWAI ◽  
K. NISHIDA ◽  
K. SASAKI ◽  
H. INOUE
Keyword(s):  
Giant Cell ◽  
Giant Cell Tumour ◽  
Full Range ◽  
En Bloc Resection ◽  
Bloc Resection ◽  
Cell Tumour ◽  
Distal Ulna ◽  
En Bloc ◽  
Iliac Bone Graft ◽  
Triangular Fibrocartilage

A giant cell tumour of the distal end of the ulna was treated by en bloc resection. The resected distal end of the ulna was replaced by an iliac bone graft, preserving the triangular fibrocartilage complex. The wrist was pain-free and had a full range of motion 6 months postoperatively.

Giant Cell Tumours of the Hand

1996 ◽  
Vol 21 (5) ◽  
pp. 683-687 ◽  
Author(s):  
B. K. S. SANJAY ◽  
G. A. RAJ ◽  
D. A. YOUNGE
Keyword(s):  
Giant Cell ◽  
Giant Cell Tumour ◽  
En Bloc Resection ◽  
Bloc Resection ◽  
Cell Tumour ◽  
Fibular Graft ◽  
En Bloc ◽  
Giant Cell Tumours ◽  
En Bloc Excision ◽  
Bloc Excision

A study of seven cases of giant cell tumours of the hand is reported. All tumours were treated by an en bloc excision of the tumour or by whole ray resection. En bloc resection of the tumour and reconstruction with a fibular graft where necessary should be considered as the treatment of choice in giant cell tumour of the hand.

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