We present a 34-year-old man with a giant cell tumor of the distal ulna. Treatment strategy included en bloc excision and distal radioulnar joint arthroplasty. En bloc excision is a good oncological option in GCT of the distal ulna, preventing local recurrence. Reconstructive procedures after distal ulna excision remain a controversial topic. Distal radioulnar joint arthroplasty can provide an excellent functional result with good range of motion, absence of pain and weight bearing capacity.
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