Abstract
We analysed the results of 24 cases of aggressive benign and malignant tumours of the distal radius treated by resection and prosthetic replacement between 1995 and 2006. Patient ages ranged from 18 to 74 years, averaging 33 years; 18 were males. Recurrent giant cell tumour was the most common tumour. The prosthesis used was a bipolar hinge custom mega prosthesis manufactured locally. Average follow-up was 78 months. The average Musculoskeletal Tumor Society (MSTS) functional score achieved was 75%. The ten-year prosthesis survival was rate 87.5%. Infection was the most common complication.
Resume
Prothèses sur mesure dans les tumeurs du radius distal. Indications de remplacement. Nous avons analysé les résultats de 24 cas de tumeurs malignes et bégnines agressives de l’extrémité distale du radius traitées par résection et prothèses entre 1995 et 2006. Les patients étaient âgées de 18 à 74 ans avec un âge moyen de 33 ans dont- 18 étaient des hommes. La cause la plus fréquente a été la récidive de tumeur à cellules géantes. La prothèse utilisée était une prothèse bipolaire à charnière sur mesure fabriquée localement. Le suivi moyen a été de 78 mois. Le score moyen MSTS après traitement était de 75%, la courbe de survie à 10 ans de 87,5%. La complication la plus fréquente a été l’infection.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Briggs TWR, Cobb J, McAuliffe T, Pringle J, Kemp H (1990) Giant cell tumours of bone. J Bone Joint Surg 72B:937
Campanacci M, Laus M, Boriani S (1979) Resection of the distal end of the radius. Ital J Orthop Traumatol 5(2):145–152
Eckardt JJ, Grogan TJ (1986) Giant cell tumor of bone. Clin Orthop Relat Res (204):45–58
Enneking WF, Spanier SS, Goodman MA (2003) A system for the surgical staging of musculoskeletal sarcoma. Clin Orthop Relat Res (415):4–18
Enneking WF, Dunham W, Gebhardt MC, Malawar M, Pritchard DJ (1993) A system for the functional evaluation of reconstructive procedures after surgical treatment of tumors of the musculoskeletal system. Clin Orthop Relat Res (286):241–246
Gold AM (1957) Use of a prosthesis for the distal portion of the radius following resection of a recurrent giant-cell tumor. J Bone Joint Surg Am 39(6):1374–1380
Goldenberg RR, Campbell CJ, Bonfiglo M (1970) Giant-cell tumor of bone. An analysis of two hundred and eighteen cases. J Bone Joint Surg 52:619–663
Harness NG, Mankin HJ (2004) Giant-cell tumor of the distal forearm. J Hand Surg [Am] 29(2):188–193
Hatano H, Morita T, Kobayashi H, Otsuka H (2006) A ceramic prosthesis for the treatment of tumours of the distal radius. J Bone Joint Surg Br 88(12):1656–1658
Kaplan EL, Meier P (1958) Nonparametric estimation from incomplete observation. J Am Stat Assoc 53:457–481
Kocher MS, Gebhardt MC, Mankin HJ (1998) 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 80(3):407–419
Labs K, Perka C, Schmidt RG (2001) Treatment of stages 2 and 3 giant-cell tumor. Arch Orthop Trauma Surg 121(1–2):83–86
Lackman RD, McDonald DJ, Beckenbaugh RD, Sim FH (1987) Fibular reconstruction for giant cell tumor of the distal radius. Clin Orthop Relat Res (218):232–238
Leung PC, Chan KT (1986) Giant cell tumor of the distal end of the radius treated by the resection and free vascularized iliac crest graft. Clin Orthop Relat Res (202):232–236
Malek F, Krueger P, Hatmi ZN, Malayeri AA, Faezipour H, O’Donnell RJ (2006) Local control of long bone giant cell tumour using curettage, burring and bone grafting without adjuvant therapy. Int Orthop 30:495–498
Maruthainar N, Zambakidis C, Harper G, Calder D, Cannon SR, Briggs TW (2002) Functional outcome following excision of tumours of the distal radius and reconstruction by autologous non-vascularized osteoarticular fibula grafting. J Hand Surg [Br] 27(2):171–174
Matejovsky Z Jr, Matejovsky Z, Kofranek I (2006) Massive allografts in tumour surgery. Int Orthop 30:478–483
O’Donnell RJ, Springfield DS, Motwani HK, Ready JE, Gebhardt MC, Mankin HJ (1994) Recurrence of giant-cell tumors of the long bones after curettage and packing with cement. J Bone Joint Surg Am 76(12):1827–1833
Pho RW (1981) Malignant giant-cell tumor of the distal end of the radius treated by a free vascularized fibular transplant. J Bone Joint Surg Am 63(6):877–884
Seradge H (1982) Distal ulnar translocation in the treatment of giant-cell tumors of the distal end of the radius. J Bone Joint Surg Am 64(1):67–73
Sheth DS, Healey JH, Sobel M, Lane JM, Marcove RC (1995) Giant cell tumor of the distal radius. J Hand Surg [Am] 20(3):432–440
Szendröi M (2004) Giant-cell tumour of bone. J Bone Joint Surg Br 86(1):5–12
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Natarajan, M.V., Chandra Bose, J., Viswanath, J. et al. Custom prosthetic replacement for distal radial tumours. International Orthopaedics (SICOT) 33, 1081–1084 (2009). https://doi.org/10.1007/s00264-009-0732-2
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00264-009-0732-2