Wrist Fusion through Centralisation of the Ulna for Recurrent Giant Cell Tumour of the Distal Radius

Meena, Dinesh Kumar; Thalanki, Srikiran; Sharma, Shiv Bhagwan

doi:10.1177/230949901602400119

Cited by 19 publications

(18 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Postoperative grip strength is reported from 41 to 71% in comparison with the other side. 7,9,12,15 In our case, this data are superior, with 85% of recovery in comparison with the other side. 7,9,10,12,15 Moreover, this case reports results in terms of pronosupination strength, never studied before in literature.…”

Section: Discussionmentioning

confidence: 37%

“…7,9,12,15 In our case, this data are superior, with 85% of recovery in comparison with the other side. 7,9,10,12,15 Moreover, this case reports results in terms of pronosupination strength, never studied before in literature. 7,9,12,15 This postoperative parameters were very good, with respectively 80 and 73% of recovery, concerning pronation and supination strength, always in comparison with the other side.…”

Section: Discussionmentioning

confidence: 37%

“…8,11 In terms of range of motion, it clearly appears that conservative treatment gives better results in comparison with arthrodesis. [2][3][4]7,9,10,[12][13][14][15]17 However, results seem to be independent of the choice between allo-or autograft. 2-4,7 9,10,12-15,17 In our case, conservative treatment of the distal radioulnar joint allowed a very satisfying recovery, because the range of motion was 100°.…”

Section: Discussionmentioning

confidence: 99%

“…[1][2][3] Arthrodesis seems to be the most practiced procedure, especially because strength is often maintained. 9,[13][14][15][16] Autograft remains the gold standard to reconstruct small loss of bone. For loss of bone greater than 10 cm, vascularized fibular graft is indicated, especially combined with a soft tissue graft if needed.…”

Section: Discussionmentioning

confidence: 99%

“…For loss of bone greater than 10 cm, vascularized fibular graft is indicated, especially combined with a soft tissue graft if needed. 9,10,[13][14][15][16] In this case, we decided to keep the mobility of the radiocarpal joint, to preserve patient's range of motion. We chose allograft because we needed to keep an articular surface opposite to the patient's carpus.…”

Section: Discussionmentioning

confidence: 99%

See 4 more Smart Citations

Radius' Giant Cell Tumor: Allograft with Conservation of Distal Radioulnar Joint

et al. 2019

View full text Add to dashboard Cite

Purpose Giant cell tumor of the distal radius are frequent lesions, and different types of surgeries have been described. Functional results, after conservative treatment or arthrodesis, often find a decreased strength and range of motion. The sacrifice of the distal radioulnar joint could be one of the causes. We report the case of a 26-year-old patient who presented with a Campanacci Grade III giant cell tumor of the distal radius. We managed his case by the association of en bloc resection and allograft reconstruction with the preservation of distal radioulnar joint. Hypothesis This procedure could improve functional results, without increasing the risk of recurrence at 2 years follow-up. Case Report The originality of our technique was the possibility of distal radioulnar joint conservation. We preserved a long portion of cortex bone all through the ulnar side of the distal radius. We then used an allograft of distal radius, fixed by a reconstruction anatomical plate. Results At 2 years follow-up, the range of motion was 100° with 60° of palmar flexion, 40° of extension, 75° of pronation, and 70° of supination. Radial and ulnar inclination were 10 and 15°, respectively. MTS (Musculoskeletal Tumor Society Score) 1993 was 88% and DASH score was 6. Concerning grip strength, it was measured at 85% in comparison with the other side. Pronation and supination strengths were 80 and 73%, respectively, in comparison with the other side. At follow-up, standard X-rays showed no recurrence. The allograft was well integrated. Conclusion Conservative treatment of the distal radioulnar joint allowed an almost ad integrum recovery, concerning strengths and range of motion. It allows a better functional recovery, without increasing the risk of recurrence.

show abstract

Section: Discussionmentioning

confidence: 37%

Section: Discussionmentioning

confidence: 37%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Radius' Giant Cell Tumor: Allograft with Conservation of Distal Radioulnar Joint

et al. 2019

View full text Add to dashboard Cite

show abstract

Osteoarticular allograft reconstruction after distal radius tumor resection: Reoperation and patient reported outcomes

Lans

Ballatori

Castelein

et al. 2021

Journal of Surgical Oncology

View full text Add to dashboard Cite

Background The aims of this study are to evaluate the rate of wrist joint preservation, allograft retention, factors associated with reoperation and to report the patient reported outcomes after osteoarticular allograft reconstruction of the distal radius. Methods Retrospective chart review identified 33 patients who underwent distal radius resection followed by osteoarticular allograft reconstruction, including 27 giant cell tumors and 6 primary malignancies. Ten patients with a preserved wrist joint completed the QuickDASH, PROMIS‐CA physical function, and Toronto extremity salvage score (TESS) at a median of 13 years postoperatively. Results The allograft retention rate was 89%, and an allograft fracture predisposed to conversion to wrist arthrodesis. The reoperation rate was 55% and 36% underwent wrist arthrodesis at a median of 4.2 years following index surgery. The use of locking plate fixation was associated with lower reoperation and allograft fracture rates. Patients reported a median QuickDASH of 10.2 (range: 0–52.3), a mean PROMIS physical function of 57.8 (range: 38.9–64.5) and the median TESS was 95.5 (range: 67.0–98.4). Conclusion Osteoarticular allograft reconstruction results in acceptable long‐term patient reported outcomes, despite a high revision rate. Allograft fixation with locking plates seems to reduce the number of reoperations and allograft fractures, along with reduction in wrist arthrodesis rates.

show abstract

Functional outcome in giant cell tumor of distal radius treated with excision and fibular arthroplasty: a case series

Barik

Jain

Ahmad

et al. 2020

Eur J Orthop Surg Traumatol

View full text Add to dashboard Cite

Wrist Fusion through Centralisation of the Ulna for Recurrent Giant Cell Tumour of the Distal Radius

Abstract: Wrist fusion through centralisation of the ulna for recurrent GCT of the distal radius is a viable option, despite a loss of wrist motion.

Cited by 19 publications

References 14 publications

Radius' Giant Cell Tumor: Allograft with Conservation of Distal Radioulnar Joint

Radius' Giant Cell Tumor: Allograft with Conservation of Distal Radioulnar Joint

Osteoarticular allograft reconstruction after distal radius tumor resection: Reoperation and patient reported outcomes

Functional outcome in giant cell tumor of distal radius treated with excision and fibular arthroplasty: a case series

Contact Info

Product

Resources

About