Evaluation of Results of Wide Resection and Reconstruction Using Non - Vascularised Ipsilateral Proximal Fibula for Giant Cell Tumor of Lower End of Radius

Abstract

BACKGROUND: Giant cell tumour of bone can occur at lower end of Radius and it is the third common site. The tumour has to be treated properly to prevent recurrence. Various methods of treatment are available and resection and reconstruction using ipsilateral upper end of fibula is one of the methods available. METHODS: The patients who had GCT lower end of Radius and attended the hospital for treatment were taken in this retrospective study. The tumour was evaluated clinically and with X-ray and MRI. The tumour was confirmed by FNAC or biopsy. The tumour was resected and reconstruction of the Radius was done using non-vascularised ipsilateral fibula. RESULTS: There were ten patients in this study, six males and four females with age varying from 25 to 41 years and follow up period varied from 36 to 60 months. The results were assessed by musculoskeletal tumour society score. Average grip strength was 65% of normal and over all functional range combined movements was 155 degrees which is comparable to published reports. The result was good in eight patients and in two cases there was mild subluxation of wrist joint which was graded as fair.. There was no recurrence of tumour. CONCLUSIONS: GCT of lower end of Radius treated with resection and reconstruction using nonvacularised ipsilateral fibula gives good result cosmetically and functionally.