Distal radioulnar joint prosthesis for the treatment of giant cell tumor of the distal ulna: a case report and literature review

Abstract

Giant cell tumor (GCT) of the distal end of the ulna is an uncommon site for primary bone tumors. When it occurs, en-bloc resection of the distal part of the ulna with or without reconstruction stabilization of the ulnar stump is the recommended treatment. We present a case of a 56-year-old man with a GCT of the distal ulna treated successfully with an en-bloc resection of the distal ulna with reconstruction using radioulnar joint prosthesis. Although the experience with this type of treatment is limited, implantation of a metallic prosthesis to replace the distal part of the ulna can also be considered as a salvage procedure for the treatment of this difficult pathology.

Osteoclastoma of Proximal Ulna―Atypical Location in a 13-Year-Old Child

“…The treatment options should always consider oncological radicality of the tumour and the restoration of functionality [15]- [17]. In the present case scenario intralesional curettage was possible as the tumour was a grade II lesion and the reconstruction was carried out with augmentation of bone cement with autologous cortico-cancellous bone graft from maternal iliac crest as the child is young.…”

“…The rate of recurrence ranges from 5% to 8% when bone cement is used, and approximately 2.3% after cryosurgery [12] [13]. According to Schajowicz [15] curettage alone is an inadequate oncological procedure, but when an adjuvant like bone cement is used, it provides a good result with respect to decreased chances of reccurence and better functional outcome.…”

Giant Cell Tumour of the Distal Ulna: A Case Report

“…According to Schajowicz [11] , curettage alone is an inadequate oncological procedure, but when it is combined with an adjuvant therapy, it globally provides a better result with respect to one-block excision, especially in terms of functionality. Therefore, the correct treatment must achieve a balance between oncological radicality and the restoration of skeletal segment functionality [12][13][14] . Curettage associated with bone grafting has been shown to be effective in many cases [15] .…”

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

“…Long term complications have been reported in the form of gradually progressive ulnar translocation of carpals and subsequent wrist arthritis. Various reconstructive procedure have been used by various authors including vascularized fibular graft , distal radio-ulnar joint metallic prosthesis [6,7,8,9], palmaris longus graft for ulnar stabilization, static as well as dynamic stabilization of ulna using extensor carpi ulnaris split tendon graft [10]. Using extensor carpi ulnaris tendon for ulnar stabilization was described by Goldner and Hayes.…”