Tham khảo tài liệu 'báo cáo hóa học:" en bloc excision and autogenous fibular reconstruction for aggressive giant cell tumor of distal radius: a report of 12 cases and review of literature"', luận văn - báo cáo phục vụ nhu cầu học tập, nghiên cứu và làm việc hiệu quả | Saini et al. Journal of Orthopaedic Surgery and Research 2011 6 14 http content 6 1 14 JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH RESEARCH ARTICLE Open Access En bloc excision and autogenous fibular reconstruction for aggressive giant cell tumor of distal radius a report of 12 cases and review of literature 11 1 1 1 Raghav Saini Kamal Bali Vikas Bachhal Aditya K Mootha Mandeep S Dhillon Shivinder S Gill Abstract Introduction Giant cell tumor GCT of distal radius follows a comparatively aggressive behaviour. Wide excision is the management of choice but this creates a defect at the distal end of radius. The preffered modalities for reconstruction of such a defect include vascularized non-vascularized bone graft osteoarticular allografts and custom-made prosthesis. We here present our experience with wide resection and non-vascularised autogenous fibula grafting for GCT of distal radius. Materials and methods Twelve patients with a mean age of years 21-43 years with Campanacci Grade II III GCT of distal radius were managed with wide excision of tumor and reconstruction with ipsilateral nonvascularised fibula fixed with small fragment plate to the remnant of the radius. Primary autogenous iliac crest grafting was done at the fibuloradial junction in all the patients. Results Mean follow up period was years years . Average time for union at fibuloradial junction was 33 weeks 14-69 weeks . Mean grip strength of involved side was 71 42-86 . The average range of movements were 52 forearm supination 37 forearm pronation 42 of wrist palmerflexion and 31 of wrist dorsiflexion with combined movements of 162 . Overall revised musculoskeletal tumor society MSTS score averaged with five excellent four good and three satisfactory results. There were no cases with graft related complications or deep infections 3 cases with wrist subluxation 2 cases with non union which subsequently united with bone grafting and 1 case of
