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. 2003;27(2):110-3.
doi: 10.1007/s00264-002-0414-9. Epub 2003 Jan 4.

Reconstruction of the distal radius by fibula following excision of giant cell tumor

V K Aithal  1 , K Bhaskaranand
Affiliations

Reconstruction of the distal radius by fibula following excision of giant cell tumor

V K Aithal et al. Int Orthop. 2003.

Abstract
in English, French

Thirty giant cell tumors of the distal radius were excised and reconstructed using a nonvascular fibular osteoarticular autograft. Four different surgical techniques for stabilization were used. There were ten recurrences, which could not be correlated with Campanacci's radiological or Jaffe's histological grading. Twenty cases without recurrence were followed up over 1.5-25.5 (average 8.5) years. Average time for incorporation of the graft was 5.2 months. The surgical technique using a radiofibular plate and K wire through the wrist had a low nonunion rate, no graft related complications, good range of movement, and good hand functions.

Trente tumeurs à cellules géantes du radius distal ont été excisées avec reconstruction par une autogreffe ostéo-articulaire fibulaire non-vascularisée. Quatre techniques chirurgicales différentes ont été utilisées pour la stabilisation. Il y avait 10 récidives non correlées avec la classification radiologique de Campanacci ou celle, histologique, de Jaffe. Vingt cas sans récidive ont été suivis de 1,5 à 25,5 années (moyenne 8,5 années). Le temps moyen pour l'incorporation de la greffe était de 5,2 mois. La technique chirurgicale utilisant une plaque radio-fibulaire et une broche de Kirchner trans-carpienne avait un faible taux de non-consolidation, aucune complications liée à la greffe, une bonne amplitude de mouvement et une bonne fonction de la main.

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Figures

Fig. 1.
Fig. 1.
Chronic osteomyelitis and partial sequestration of the graft
Fig. 2.
Fig. 2.
Nonunion and partial resorption of the graft following Z-osteotomy and screw fixation
See this image and copyright information in PMC

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