A Newer Technique of Distal Ulna Reconstruction Using Proximal Fibula and TFCC Reconstruction Using Palmaris Longus Tendon following Wide Resection of Giant Cell Tumour of Distal Ulna

Abstract

Giant cell tumour of the bone (GCT) is a rare locally aggressive primary bone tumour with an incidence of 3% to 5% of all primary bone tumours. The most common location for this tumour is the long bone metaepiphysis especially of the distal femur, proximal tibia, distal radius, and the proximal humerus. Involvement of distal ulna is rare accounting for 0.45% to 3.2%. Considering local aggressive nature and high recurrence, wide resection is the treatment recommended. Instability of ulnar stump and ulnar translation of the carpals are known complications following resection of distal ulna. To overcome these problems, we attempted a newer technique of distal ulna reconstruction using proximal fibula and TFCC reconstruction using palmaris longus tendon following wide resection of giant cell tumour of distal ulna in a 44-year-old male. This technique of distal radioulnar joint reconstruction has excellent functional results with no evidence of recurrence after one-year followup.

Extensor Carpi Ulnaris Tenodesis Versus No Stabilization After Wide Resection of Distal Ulna Giant Cell Tumors

“…10,42 Controversy exists whether the resected ulna should be stabilized, with some authors advocating against any type of reconstruction, 6,9,12,21,45 while others favoring various methods of stabilization. 2,5,14,16,18,19,22,23,[25][26][27][28]35,40,46 In this retrospective study, the authors compared the clinical outcome following resection of the distal ulna for GCTs with reconstruction using the extensor carpi ulnaris (ECU) tenodesis for ulnar stamp stabilization versus no reconstruction.…”

A rare case of distal ulna giant cell tumour – Wide excision and stabilisation using extensor carpi ulnaris tendon

“…Some reports have advocated stabilization of distal ulna stump using bone graft augmentation to soft tissue reconstruction. [3,4] Benefits of stabilization procedure have been discussed as better grip strength and improve wrist range of motion and forearm pronation and supination due to avoidance of radio-ulnar convergence. In our patient with solitary distal ulna giant cell tumour, we have performed wide excision of distal ulna and subsequent stabilization using extensor carpi ulnaris tendon.…”

Operative technique for reconstruction of distal ulna after giant cell tumour resection

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Giant cell tumour (GCT) is a rare, benign tumour, but it has a locally aggressive nature [1][2][3][4] . It accounts for 3 to 5% of all primary bone tumours, and affects adult people at the age of 20 to 40 years 2,4 .

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Giant cell tumour (GCT) is a rare, benign tumour, but it has a locally aggressive nature [1][2][3][4] . It accounts for 3 to 5% of all primary bone tumours, and affects adult people at the age of 20 to 40 years 2,4 . The distal ulna represents an extremely rare localization of this tumour, occurring in only 0.45-4,5 % of all GCT cases 1,3 .

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