Fibulo‐scapho‐lunate arthrodesis after resection of the distal radius for giant‐cell tumor of the bone

Jaminet, Patrick; Rahmanian-Schwarz, Afshin; Pfau, Matthias; Nusche, A.; Schaller, Hans-Eberhard; Lotter, Oliver

doi:10.1002/micr.21971

Cited by 20 publications

(21 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…For the reconstructive technique chosen, these can be divided into those involving arthrodesis and those not. When arthrodesis is performed, this can be a total wrist arthrodesis with fixation of the native radius, the bridging graft, the carpus and a metacarpal, a total wrist arthrodesis with ulnocarpal fusion (when either ulnar centralization [39,47] or translocation [7,36,44] is performed), or a limited arthrodesis such as a fibulascapholunate arthrodesis [3,16]. Where arthrodesis is not performed, soft tissue reconstruction is performed to effect an osteoarticular reconstruction of the radiocarpal articulation.…”

Section: Introductionmentioning

confidence: 99%

Does Wrist Arthrodesis With Structural Iliac Crest Bone Graft After Wide Resection of Distal Radius Giant Cell Tumor Result in Satisfactory Function and Local Control?

Wang

Chan

Yang

et al. 2017

Clinical Orthopaedics &Amp; Related Research

View full text Add to dashboard Cite

Background Many techniques have been described for reconstruction after distal radius resection for giant cell tumor with none being clearly superior. The favored technique at our institution is total wrist fusion with autogenous nonvascularized structural iliac crest bone graft because it is structurally robust, avoids the complications associated with obtaining autologous fibula graft, and is useful in areas where bone banks are not available. However, the success of arthrodesis and the functional outcomes with this approach, to our knowledge, have only been limitedly reported. Questions/purposes (1) What is the success of union of these grafts and how long does it take? (2) How effective is the technique in achieving tumor control? (3) What complications occur with this type of arthrodesis? (4) What are the functional results of wrist arthrodesis by this technique for treating giant cell tumor of the distal radius? Methods Between 2005 and 2013, 48 patients were treated for biopsy-confirmed Campanacci Grade III giant cell tumor of the distal radius. Of those, 39 (81% [39 of 48]) were treated with wrist arthrodesis using autogenous nonvascularized iliac crest bone graft. Of those, 27 (69% [27 of 39]) were available for followup at a minimum of 24 months (mean, 45 months; range, 24-103 months). During that period, the general indications for this approach were Campanacci Grade III and estimated resection length of 8 cm or less. Followup included clinical and radiographic assessment and functional assessment using the Disabilities of the Arm, Shoulder and Hand (DASH) score, the Musculoskeletal Tumor Society (MSTS) score, grip strength, and range of motion at every followup by the treating surgeon and his team. All functional results were from the latest followup of each patient. Results Union of the distal junction occurred at a mean of 4 months (± 2 months) and union of the proximal junction occurred at a mean of 9 months (± 5 months). Accounting for competing events, at 12 months, the rate of proximal junction union was 56% (95% confidence interval [CI], 35%-72%), whereas it was 67% (95% CI, 45%-82%) at 18 months. In total, 11 of the 27 patients (41%) underwent repeat surgery on the distal radius, including eight patients (30%) who had complications and three (11%) who had local recurrence. The mean DASH score was 9 (± 7) (value range, 0-100, with lower scores representing better function), and the mean MSTS 1987 score was 29 (± 1) (value range, 0-30, with higher scores representing better function) as well as 96% (± 4%) of mean MSTS 1993 score (value range, 0%-100%, with higher scores representing

show abstract

Section: Introductionmentioning

confidence: 99%

Does Wrist Arthrodesis With Structural Iliac Crest Bone Graft After Wide Resection of Distal Radius Giant Cell Tumor Result in Satisfactory Function and Local Control?

Wang

Chan

Yang

et al. 2017

Clinical Orthopaedics &Amp; Related Research

View full text Add to dashboard Cite

show abstract

“…Hence, reconstruction of the distal radius is a challenge with regard to regaining normal function in the hand with minimal complications. A number of studies have reported on the reconstruction of segmental distal radial defects after tumour resection by using a non-vascularised or vascularised autogenous fibular graft; the reconstruction procedures have mainly included arthroplasty [2,4,[17][18][19][20][21], partial wrist arthrodesis [3,22,23] and complete wrist arthrodesis [24][25][26].…”

Section: Discussionmentioning

confidence: 99%

“…Moreover, partial wrist arthrodesis is also widely used in reconstructing bone defects after resection of a GCT of the distal radius. This procedure preserves partial wrist function, and the surgical complications are relatively rare; moreover, the clinical efficacy is satisfactory [22,23]. However, wrist partial arthrodesis also has some associated complications, such as delayed union, nonunion, fatigue or stress fractures [31].…”

Section: Discussionmentioning

confidence: 99%

Partial wrist arthrodesis versus arthroplasty for distal radius giant cell tumours

Zhu

Zhang

Zhao

et al. 2013

International Orthopaedics (SICOT)

View full text Add to dashboard Cite

Purpose The purpose of this study was to evaluate the clinical efficacy of using the proximal fibular graft for partial wrist arthrodesis or arthroplasty after the resection of giant cell tumours of the distal radius. Methods Between February 2006 and August 2010, 14 patients (seven males, seven females; average age, 35.7 years) with grade II and III giant cell tumours of the distal radius were treated by tumour resection and autologous proximal fibular grafts to reconstruct the wrist in our hospital. Seven patients each were treated by wrist arthroplasty and partial wrist arthrodesis, and were followed up for 2.2-6.8 years (average, 3.9 years).

show abstract

“…Die meisten Literaturberichte über Tumore des distalen Radius liegen bei Riesenzelltumoren vom Campanacci Grad 2 und 3 vor [5,6,7].…”

Section: Handgelenksarthrodese Mit Gefäßgestieltem Fibulasegment Bei unclassified

Handgelenksarthrodese mit gefäßgestieltem Fibulasegment bei handgelenksnahen Unterarmtumoren

Lehner

Jung²,

Stillfried

2012

Oper Orthop Traumatol

View full text Add to dashboard Cite

The operation technique described for preservation of the extremity in primary extended bone tumors of the distal radius was performed in our clinic in 2 patients since 2009. Tumor-free and pain-free hand function was found at the 2.5-year follow-up examinations. The patients had free range of motion of the fingers and preserved sensorimotor function. The MSTS (Musculoskeletal Tumour Society) scores by Enneking were 80% and 70%.

show abstract

Fibulo‐scapho‐lunate arthrodesis after resection of the distal radius for giant‐cell tumor of the bone

Abstract: Fibulo-scapho-lunate fusion is an elegant method of distal radius reconstruction with good functional outcome and low risk of pulmonary metastasis.

Cited by 20 publications

References 16 publications

Does Wrist Arthrodesis With Structural Iliac Crest Bone Graft After Wide Resection of Distal Radius Giant Cell Tumor Result in Satisfactory Function and Local Control?

Does Wrist Arthrodesis With Structural Iliac Crest Bone Graft After Wide Resection of Distal Radius Giant Cell Tumor Result in Satisfactory Function and Local Control?

Partial wrist arthrodesis versus arthroplasty for distal radius giant cell tumours

Handgelenksarthrodese mit gefäßgestieltem Fibulasegment bei handgelenksnahen Unterarmtumoren

Contact Info

Product

Resources

About