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Retrospective Analysis of Giant Cell Tumor Lower End Radius Treated with En bloc Excision and Translocation of Ulna

  • Symposium - Musculoskeletal Oncology
  • Published:
Indian Journal of Orthopaedics Aims and scope Submit manuscript

Abstract

Background

Distal end of radius is third most common site for GCT of long bones and 1% of these metastasize mostly to lungs. Reconstruction methods commonly used are fibula (vascularized and nonvascularized), centralization of ulna, translocation of ulna, and endoprosthetic replacement. We report the outcome of series of twenty cases where we did en bloc excision of tumor with translocation of ulna.

Materials and Methods

Twenty cases of giant cell tumor (GCT) of lower end of radius were included in this retrospective study. The mean age of patients was 33.15 years (range 21–55 years). We had 14 of Campanacci Grade III and 6 of Grade II. Preoperative radiographs and magnetic resonance imaging of the involved wrist and forearm were done.

Results

Of all twenty patients, 14 were males and 6 were females. Mean followup duration was 3.9 years (range 1.5–17 years). Mean grip strength of involved side as a percentage of normal side was 71% (range 42%–86%) and the actual mean value for operated side was 29 kg as compared to 40 kg for normal side. The average range of forearm movement was supination 80.25° (60°–90°) and pronation 77.5° (70°–90°). No patient was dissatisfied as far as cosmesis was concerned.

Discussion

In our opinion considering the propensity to recur with more aggressiveness after recurrence, en bloc excision with translocation of ulna has become a standard treatment option for GCT of lower end of radius, with advantages of better functional outcomes, retained vascularity, and elimination of risk of donor site morbidity.

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Authors and Affiliations

  1. Department of Orthopaedics, Fortis Hospital, SMS Medical College, India

    Purnima Patni, Narender Saini & S. P. Gupta

  2. Department of Orthopaedics, Fortis Hospital, Indraprastha Apollo Hospitals, New Delhi, India

    Rahul Sharma

  3. Department of Orthopaedics, Sardar Patel Medical College, India

    Vinit Arora

  4. Department of Orthopaedics, Mahatma Gandhi Medical College and Hospital, Jaipur, Rajasthan, India

    S. P. Gupta

  5. Department of Orthopaedics, Fortis Hospital, India

    Amit Vyas

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  1. Amit Vyas
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  2. Purnima Patni
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  3. Narender Saini
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  5. Vinit Arora
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Correspondence to Amit Vyas.

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Vyas, A., Patni, P., Saini, N. et al. Retrospective Analysis of Giant Cell Tumor Lower End Radius Treated with En bloc Excision and Translocation of Ulna. IJOO 52, 10–14 (2018). https://doi.org/10.4103/ortho.IJOrtho_227_16

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  • DOI: https://doi.org/10.4103/ortho.IJOrtho_227_16

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