Use of a Prosthesis for the Distal Portion of the Radius Following Resection of a Recurrent Giant-Cell Tumor

¹ Orthopaedic Service, Hospital for Joint Diseases, New York

A case of an aggressive giant-cell tumor of the distal end of the right radius in a young adult male was presented. Two recurrences of the tumor followed, each within a year after surgery; the first, after curettage and implantation of bone chips from the ilium; the second, after resection of the distal portion of the radius and replacement by grafting the proximal portion of the patient's right fibula. A third operation was performed to remove the recurrent tumor and the eroded fibular graft, and to insert an acrylic prosthesis as a substitute for the distal fourth of the radius. This was an alternative to amputation to which the patient objected. Heavy irradiation was given shortly after the surgery. A good functional result was obtained with a small range of motion at the wrist. The patient was able to do heavy work; however, the prosthesis fractured after two years. Fairly good function continued, and despite the fracture of the prosthesis, the result has remained satisfactory to date without recurrence of the tumor.

[See pdf for the image]

CiteULike    Connotea    Del.icio.us    Technorati    What's this?

This article has been cited by other articles:

				M. S. KOCHER, M. C. GEBHARDT, and H. J. MANKIN Reconstruction of the Distal Aspect of the Radius with Use of an Osteoarticular Allograft after Excision of a Skeletal Tumor J. Bone Joint Surg. Am., March 1, 1998; 80(3): 407 - 19. [Abstract] [Full Text]