The Journal of Bone and Joint Surgery, Vol 75, Issue 6 899-908, Copyright © 1993 by Journal of Bone and Joint Surgery, Inc
The treatment of giant-cell tumors of the distal part of the radius
RA Vander Griend and CH Funderburk
Department of Orthopaedics, University of Florida, Gainesville 32610-0246.
We reviewed the results of the treatment of giant-cell tumors of the distal
part of the radius in twenty-three patients, to identify criteria that
could assist in the selection of the most effective option for treatment or
reconstruction. The treatment was chosen on the basis of the preoperative
roentgenographic assessment of the extent of the tumor. Seven patients, who
had received previous treatment elsewhere, were referred to us because of a
local recurrence. An extended curettage followed by packing of the cavity
with cement was effective in preserving the normal function of the
extremity and in eradicating the lesion in five patients who had a lesion
that was intraosseous or that involved minimum cortical perforation. Of the
eighteen remaining patients, who had extraosseous extension of the tumor,
seventeen had a resection of the distal part of the radius and one had a
below-the-elbow amputation. After resection of the involved segment of
bone, the best functional result was seen in the patients who had been
managed with a radiocarpal arthrodesis and use of an intercalary bone graft
that was stabilized with a long plate. At the most recent follow-up
examination (range, two to nineteen years after the curettage or
resection), there had been no local recurrences.
CiteULike 
Connotea 
Del.icio.us 
Technorati What's this?
