Giant Cell Tumour of Distal Radius: Results of Wide Excision and Autogenous Nonvascularized Fibula Graft Reconstruction
Journal Title: Journal of Bone and Joint Diseases - Year 2017, Vol 0, Issue 0
Abstract
Introduction: Giant cell tumour is a benign aggressive bone tumour with a good incidence of recurrence. Curettage and bone grafting and wide excision are the mainstay of treatment. With this study we are presenting our experience with wide excision and autogenous fibula grafting of giant cell tumour of distal radius. Materials and methods: We included 11 patients of giant cell tumour of distal radius with a mean age of 31 years(28-42 years). Wide excision and non vascularized autogenous fibula grafting secured with plating was used in all the patients with Campanacci grade- II and III. Results were assessed on the basis of Revised Musculoskeletal Tumour Society Score(MSTS). Results: Mean follow up period was 2.5 years(1.8 to 3.8 years). Average time for fibuloradial union was 27 weeks(20-37 weeks). Average range of forearm movement was 45° supination to 30° pronation, 45° of palmarflexion at wrist and 30° of dorsiflexion.We reported excellent results in 04 of our patients,04 patients with good results and 03 patients with satisfactory results. We did not encounter any non-union at graft site , 03 of our patients developed stitch line infection and 02 cases developed recurrence while 02 cases reported subluxation of wrist joint. Conclusion: Wide excision and autogenous nonvascularized fibula grafing is the mainstay of treatment in giant cell tumour of distal radius despite of fair number of complications.
Authors and Affiliations
Deepak Kumar, Sudhir Shyam Kushwaha, Dr. Kumar Shantanu, Vineet Kumar, Ashish Kumar
Keywords
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