Introduction: Giant cell tumor is a benign bone tumor, locally aggressive with low malignant potential. The goal of treatment of this tumor at the distal radius is complete removal of the tumor and reconstruction of the bone defect in order to preserve maximum function of the wrist joint.Case Series: This is a retrospective study conducted in 5 consecutive patients of GCT of distal radius. All patients presented with pain and swelling over distal end radius and were assessed clinically and radiographically. X-ray showed lytic lesion at lower end of radius suggestive of GCT. Histopathological examination and FNAC was done to confirm the diagnosis. Once the patient was fit for Surgery, wide excision of tumor and reconstruction with ipsilateral non-vascularised proximal fibula was performed. DCP plating was done to secure the fibular graft to the radius. 2 K -wires, 1 transverse through the fibula and ulna and 1 through fibula into the carpals were used for additional fixation and to help maintain the fibula and ulna in close approximation.
Results: final minimum 1 Atfollow up of year, all cases had good graft union with no recurrence. The range of motion of the wrist was near normal with no instability and good grip strength. Although this is an early follow up no graft collapse and no arthritic changes were noted. There were no complications both at donor and recipient graft sites.
Conclusion:Autogenous non-vascularised fibular graft for reconstruction of distal radius GCTcan be considered as a reasonable option for treating such conditions. Long term follow up will be needed to assess temporal complications and long term survival of the graft.
Introduction: Good outcomes in Total Hip Replacement (THR) depend upon correct component alignment. This is influenced by the surgeon’s capacity to recreate a geometrically normal and biomechanically stable hip joint. Mal-positioining of components can lead to various complications and the surgeons have to make vital decisions intra-operatively based on their experience. Materials and Methods: This study describes a simple instrument to aid alignment of femoral stem insertion and hence achieve the normal range of ante-version between 10 º-20 º. Experiments performed on a saw bone model by twenty orthopaedic surgeons, each making six attempts to insert a prosthesis demonstrated improved positioning when compared to unaided insertion. Results: The mean average femoral stem ante-version unaided was 18.3 º (range, 4.9 º to 36.6 º). Device aided ante-version was 14.4 º (range, 9.8 º to 18.9 º) (p<0.001). We also report the practicality of the use of the device which was assessed by use on cadavers. Conclusion: Precise assessment of stem ante-version can be achieved in non-navigated THR if such a device is available intra-operatively.
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