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.

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.

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.

scholarly journals Giant Cell Tumor of Distal Radius: En Bloc Resection and Partial Wrist Arthrodesis Using Non-Vascularized Fibular Autograft

2017 ◽  
Vol 4 (2) ◽  
Author(s):  
Davod Jafari ◽  
Hooman Shariatzadeh ◽  
Mohammad Ali Okhovatpour ◽  
Mehran Razavipour ◽  
Farshad Safdari
Keyword(s):  
Giant Cell Tumor ◽  
Giant Cell ◽  
Distal Radius ◽  
En Bloc Resection ◽  
Bloc Resection ◽  
Cell Tumor ◽  
En Bloc ◽  
Wrist Arthrodesis ◽  
Fibular Autograft
Sign in / Sign up

Export Citation Format

Share Document