The reconstruction after en-bloc resection of giant cell tumors at the distal radius: A systematic review and meta-analysis of the ulnar transposition reconstruction technique

Chobpenthai, Thanapon; Thanindratarn, Pichaya; Phorkhar, Termphong; Ingviya, Thammasin

doi:10.1016/j.suronc.2020.04.015

Cited by 12 publications

(14 citation statements)

References 37 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…To preserve the rotation function of the forearm, the distal ulna is transplanted to the proximal radius stump based on centralization. In 2020, Chobpenthai et al [ 12 ] conducted a systematic review of this surgery. The article included 12 studies, with an average follow-up time of 9 to 46.8 months, and the postoperative grip strength recovered to 38.9% to 86% of the healthy side.…”

Section: Discussion and Literature Reviewmentioning

confidence: 99%

Centralization of ulna with wrist fusion for failure of reconstructed distal radius by allograft bone or prosthesis

Yang²,

Li³

et al. 2021

Medicine

View full text Add to dashboard Cite

Rationale: Centralization of the ulna is commonly used in the treatment of radius developmental deformity in children. The secondary distal radius deficiency in adults is different from the developmental deformity of the radius in children. There is no report on the ulna centralization with wrist fusion for the failure of the reconstructed distal radius by allograft bone or prosthesis for osteosarcoma in adults. Patient concerns: 2 patients with a bone tumor on the distal radius underwent tumor resection and distal radius reconstruction by allograft bone or prosthesis and suffered distal radius collapsed fracture and radiocarpal joint dislocation accompanied with moderate pain, severe deformity, and poor grip and pinching power several months follow primary surgery. Diagnoses: X-ray images revealed collapsed fracture of distal radius and dislocation of the radiocarpal joint. Interventions: The 2 patients were operated on by the same technique under brachial plexus anesthesia. The allograft bone or prosthesis and the lunate were removed. The capitate was trimmed with a groove, and the cartilage surface with the subchondral bone of the distal ulna was resected to match the groove of the capitate. A straight plate with screws was used for internal fixation. Outcomes: Bone healing was achieved at 3 to 4 months after the surgery. After a minimum of 1-year follow-up, pain symptom was relieved, palmar flexion deformity was corrected, and grip and pinch strength were restored. The 2 patients were both satisfied with the improvement in appearance and function. Lessons: For adult patients who have failed resection and reconstruction of giant cell tumors, osteosarcoma, and other tumors of bone on the distal radius, ulna centralization is a simple and effective option.

show abstract

Section: Discussion and Literature Reviewmentioning

confidence: 99%

Centralization of ulna with wrist fusion for failure of reconstructed distal radius by allograft bone or prosthesis

Yang²,

Li³

et al. 2021

Medicine

View full text Add to dashboard Cite

show abstract

“…GCTB of GCTB of the distal radius is the third most common site of this relatively rare neoplasm, corresponding to 10% of all cases [2, 4-7, 17, 18] . Despite its benign label, the distal radius is the most common primary site responsible for metastases and a high focus on ruling out pulmonary metastasis is mandatory in the pre-operative assessment [9,10,12,19] . In well-marginated cortical borders, curettage with bone grafting/cement packing is acceptable despite the recurrence rates up to 50% [4,5,7,17,19] .…”

Section: Discussionmentioning

confidence: 99%

“…Despite its benign label, the distal radius is the most common primary site responsible for metastases and a high focus on ruling out pulmonary metastasis is mandatory in the pre-operative assessment [9,10,12,19] . In well-marginated cortical borders, curettage with bone grafting/cement packing is acceptable despite the recurrence rates up to 50% [4,5,7,17,19] . Campanacci grade, pathological fractures, tumor site, and adjuvant therapy are recognized predictors of local recurrence [1,19] .…”

Section: Discussionmentioning

confidence: 99%

“…In well-marginated cortical borders, curettage with bone grafting/cement packing is acceptable despite the recurrence rates up to 50% [4,5,7,17,19] . Campanacci grade, pathological fractures, tumor site, and adjuvant therapy are recognized predictors of local recurrence [1,19] . Studies have correlated the incidence of metastases with aggressive growth and local recurrence [20,21] .…”

Section: Discussionmentioning

confidence: 99%

“…Due to the proximity with other bones (ulna and carpal bones) and other soft tissue structures, intralesional excisions, even when adjuvant therapies are used, have poor local control when compared to enbloc resection [1,2] . Reconstruction of the wrist by ulnar translocation after total resection was first described in 1982 by Seradge [5,6,19,22] and several techniques to fixate the transposed ulna were described: Steinmann pins, T-shape plates, dynamic compression plates, cloverleaf plates, and K-wires [19] . The ipsilateral ulnar translocation technique is a surgical procedure that avoids donor site morbidity and allows an adequate muscular cover with improved vascularity [5,7,9,17] .…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

En-bloc excision of Giant Cell Tumors of the distal radius and arthrodesis of the translocated ipsilateral ulna: A report of two cases

Pereira¹,

Vale²,

Amorim-Barbosa³

et al. 2021

CSRC

View full text Add to dashboard Cite

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

show abstract

Giant cell tumor of distal radius: En bloc resection with allograft reconstruction: A case report

Ahangar,

Rahimnia,

Akbaribazm

et al. 2024

Clinical Case Reports

View full text Add to dashboard Cite

Key Clinical MessageGiant cell tumor of bone (GCT) is a rare neoplasm which often presents as a lytic lesion in the epiphyseal region of long bones and which are usually accompanied by pain, swelling, and restricted movement.AbstractGiant cell tumor of bone (GCT) is a rare neoplasm that affects individuals in their third and fourth decades of life. Clinically, it often presents as a lytic lesion in the epiphyseal region of bones, notably the distal femur and proximal tibia. Radiologically, GCT appears as a distinct lytic lesion in the epiphyseal region. Histopathologically, GCTs are composed of mononuclear cells, macrophages, and multinuclear giant cells, indicative of osteoclastogenic stromal tumors. A 37‐year‐old man presented with left wrist pain, swelling, and restricted movement persisting for a year, worsening over the last 7 months. Radiographic assessments revealed a distal radius bone mass involving the radiocarpal joint. Biopsy confirmed a GCT with extension into peripheral muscle. PET/CT scan showed localized pathology without metastasis. Histopathologically, GCT exhibited multinucleated giant cells, spindle cells, and aneurysmal bone cyst‐like regions with coagulation necrosis. Surgical resection involved en‐bloc removal and reconstruction with a non‐vascularized radius bone graft. Postoperatively, the patient showed no complications at the one‐year follow‐up, suggesting successful intervention.

show abstract

The reconstruction after en-bloc resection of giant cell tumors at the distal radius: A systematic review and meta-analysis of the ulnar transposition reconstruction technique

Cited by 12 publications

References 37 publications

Centralization of ulna with wrist fusion for failure of reconstructed distal radius by allograft bone or prosthesis

Centralization of ulna with wrist fusion for failure of reconstructed distal radius by allograft bone or prosthesis

En-bloc excision of Giant Cell Tumors of the distal radius and arthrodesis of the translocated ipsilateral ulna: A report of two cases

Giant cell tumor of distal radius: En bloc resection with allograft reconstruction: A case report

Contact Info

Product

Resources

About