DISTAL RADIUS RECONSTRUCTION USING FIBULAR GRAFTS

2021 ◽  
pp. 61-62
Author(s):  
Satvik N Pai ◽  
Mohan M Kumar
Keyword(s):  
Distal Radius ◽  
Wrist Joint ◽  
Locking Compression Plate ◽  
Cell Tumor ◽  
Wide Resection ◽  
Reconstructive Procedure ◽  
Wrist Arthrodesis ◽  
Compression Plate ◽  
Aggressive Tumor ◽  
Methods Of Reconstruction

Giant cell tumor (GCT) of bone is a locally aggressive tumor of bone. GCT involving the distal radius poses certain unique challenges in management. The resection of the tumor will almost always end up requiring a reconstructive procedure of the joint, for which several different methods of reconstruction have been explored. We present a case of a 29 year old lady with distal radius GCT. We performed a wide resection of the tumor, reconstructed the distal radius with free bula graft and did a wrist arthrodesis using locking compression plate. We found that it provided a stable, painless wrist joint and good functional outcome.

scholarly journals Giant Cell Tumor of the Distal Radius: Wide Resection, Ulna Translocation With Wrist Arthrodesis

Cureus ◽  
2021 ◽  
Author(s):  
Alok C Agrawal ◽  
Ankit Kumar Garg ◽  
Ranjeet Choudhary ◽  
Shilp Verma ◽  
Rudra Narayan Dash
Keyword(s):  
Giant Cell Tumor ◽  
Giant Cell ◽  
Distal Radius ◽  
Cell Tumor ◽  
Wide Resection ◽  
Wrist Arthrodesis

scholarly journals Volar Fixation of Dorsally Displaced Distal Radial Fracture Using Locking Compression Plate

2005 ◽  
Vol 13 (2) ◽  
pp. 153-157 ◽  
Author(s):  
KK Wong ◽  
KW Chan ◽  
TK Kwok ◽  
KH Mak
Keyword(s):  
Distal Radius ◽  
Locking Plate ◽  
Locking Compression Plate ◽  
Distal Radial Fracture ◽  
Radial Fracture ◽  
Distal Radial Fractures ◽  
Compression Plate ◽  
One Year ◽  
Compression Plating ◽  
Unstable Fractures

Purpose. To evaluate the functional and radiological results of treating unstable fractures of the dorsal distal radius with a volar locking plate. Methods. Dorsally displaced distal radial fractures in 30 patients (11 men and 19 women; mean age, 58.6 years) were fixed by volar locking compression plate and followed up for a minimum of one year. Results. At final functional assessment, 24 patients achieved excellent and 5 achieved good outcomes, with one patient exhibiting fair results. Radiological scores demonstrated 22 excellent and 8 good outcomes. No nonunion or infection occurred. Conclusion. Volar locking compression plating is a safe and effective treatment for unstable fractures of the dorsal distal radius.

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 Wrist Arthrodesis with Vascularized Fibular Graft after Failed Allograft Replacement for Giant-Cell Tumor Resection

2021 ◽  
Vol 5 (1) ◽  
pp. 27-31
Author(s):  
Elena Lucattelli ◽  
◽  
Stefano Bastoni ◽  
Luca Delcroix ◽  
Fabio Sciancalepore ◽  
...  
Keyword(s):  
Giant Cell Tumor ◽  
Giant Cell ◽  
Distal Radius ◽  
Cell Tumor ◽  
Functional Score ◽  
Fibular Graft ◽  
Salvage Procedure ◽  
Wrist Arthrodesis ◽  
Vascularized Fibular Graft ◽  
Fibula Free Flap

Giant-cell tumor (GCT) is locally aggressive bone neoplasm, with an unpredictable pattern of biological aggressiveness. The optimal treatment had to achieve a negligible local recurrence rate while maximizing musculoskeletal function. Numerous options for reconstruction are available, but in the literature there is a lack of salvage surgery data. We present a case of a 67-year-old woman who underwent complete wrist arthrodesis with vascularized fibular graft as salvage procedure for allograft necrosis, after excision of a distal radius GCT. The patient did not complain of any impairment in daily use, and the functional score was 22 points (73%) at latest follow-up of 14 months. Despite joint salvage remains the most favorable treatment with regard to functional outcome for aggressive tumors of the distal radius, vascularized fibular grafts is a valuable alternative especially in salvage procedures, where the use of another allograft could lead to higher complications rate. Keywords: Vascularized fibular graft, Wrist arthrodesis, Giant-Cell Tumor, Fibula free flap.

scholarly journals Outcome of fracture distal radius treated with open reduction internal fixation with volar locking compression plate (A study of 50 cases)

2018 ◽  
Vol 4 (1o) ◽  
pp. 1003-1011
Author(s):  
Dr. Umesh Nagrale ◽  
Dr. Sagar Kadam ◽  
Dr Ravi Bhanushali ◽  
Dr. Prasannaditya mujumdar ◽  
Dr. Avik Sarkar ◽  
...  
Keyword(s):  
Internal Fixation ◽  
Distal Radius ◽  
Open Reduction ◽  
Open Reduction Internal Fixation ◽  
Locking Compression Plate ◽  
Compression Plate
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