Fibular autografts for distal defects of the radius

Mack, Gregory R.; Lichtman, David M.; MacDonald, Rodney I.

doi:10.1016/s0363-5023(79)80011-8

Cited by 38 publications

(15 citation statements)

References 13 publications

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“…Sheth et al [36] found comparable MSTS scores and grip strength when comparing intralesional excision and resection arthrodesis, respectively, for giant cell tumor of the distal radius in 26 patients. Some favorable functional results also have been reported for osteoarticular allograft reconstruction using proximal fibular autograft, however none were performed in our patients and there are concerns with high complication rates [1,3,6,23,24,26,31].…”

Section: Discussionmentioning

confidence: 55%

Is Intralesional Treatment of Giant Cell Tumor of the Distal Radius Comparable to Resection With Respect to Local Control and Functional Outcome?

Wysocki

Soni

Virkus

et al. 2015

Clinical Orthopaedics &Amp; Related Research

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Background A giant cell tumor is a benign locally aggressive tumor commonly seen in the distal radius with reported recurrence rates higher than tumors at other sites. The dilemma for the treating surgeon is deciding whether intralesional treatment is adequate compared with resection of the primary tumor for oncologic and functional outcomes. More information would be helpful to guide shared decision-making. Questions/purposes We asked: (1) How will validated functional scores, ROM, and strength differ between resection versus intralesional excision for a giant cell tumor of the distal radius? (2) How will recurrence rate and reoperation differ between these types of treatments? (3) What are the complications resulting in reoperation after intralesional excision and resection procedures? (4) Is there a difference in functional outcome in treating a primary versus recurrent giant cell tumor with a resection arthrodesis? Methods Between 1985 and 2008, 39 patients (39 wrists) were treated for primary giant cell tumor of the distal radius at two academic centers. Twenty patients underwent primary intralesional excision, typically in cases where bony architecture and cortical thickness were preserved, 15 underwent resection with radiocarpal arthrodesis, and four had resection with osteoarticular allograft. Resection regardless of reconstruction type was favored in cases with marked cortical expansion. A specific evaluation for purposes of the study with radiographs, ROM, grip strength, and pain and functional scores was performed at a minimum of 1 year for 21 patients (54%) and an additional 11 patients (28%) were available only by phone. We also assessed reoperations for recurrence and other complications via chart review.

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Section: Discussionmentioning

confidence: 55%

Is Intralesional Treatment of Giant Cell Tumor of the Distal Radius Comparable to Resection With Respect to Local Control and Functional Outcome?

Wysocki

Soni

Virkus

et al. 2015

Clinical Orthopaedics &Amp; Related Research

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“…As management paradigms have evolved, researchers have historically treated distal radius GCTs with amputation, 8 wrist prosthesis, 8 autograft from the ilium 9 or tibia, 10 1-bone forearm creation by distal ulnar translocation onto the radius, 11 nonvascularized fibular autograft, [12][13][14][15][16][17] and vascularized fibular transfer. 18 -21 All of these options have shown fair functional outcomes with regard to patient satisfaction or ability to return to a normal life, but all have had a potentially high complication rate.…”

mentioning

confidence: 99%

Functional Outcome of En Bloc Excision and Osteoarticular Allograft Replacement With the Sauve-Kapandji Procedure for Campanacci Grade 3 Giant-Cell Tumor of the Distal Radius

Szabo

Anderson

Chen

2006

The Journal of Hand Surgery

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“…Weiland has recommended the use of vascularized autografts for the management of bone defects [19]. Autologous fibular grafting is technically demanding and has potential donor site morbidity, but has a high rate of success [11]. Jupiter (1997) reported 11% development of non-union of the graft to the host site following compression plating and grafting [9] with iliac crest autograft.…”

Section: Discussionmentioning

confidence: 99%

Treatment of traumatic forearm bone loss with Ilizarov ring fixation and bone transport

Smith

Elbatrawy²,

Andreassen

et al. 2006

International Orthopaedics (SICOT)

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Bone loss in the forearm results from highenergy trauma or follows non-union with infection. Ilizarov methodology provides stable fixation without implantation of permanent foreign bodies while permitting wrist and elbow movement. We are reporting our experience using distraction osteogenesis in the treatment of traumatic bone loss in the forearm. From 1991 to 2000, 11 consecutive patients with traumatic forearm bone loss were treated with Ilizarov ring fixation. Records were reviewed retrospectively. All patients were contacted 2-10 years after surgery at the Ilizarov Clinic in Lecco, Italy. Eleven atrophic nonunions with bone loss were treated. The time from injury to Ilizarov treatment averaged 2.1 years. Follow-up averaged 6.2 years. The union rate with Ilizarov treatment alone was 64%. Thirty-six percent of the patients were converted to a hypertrophic non-union and underwent compression plating. The overall rate of union was 100%. There were four unplanned reoperations and no refractures, neurovascular injuries or deep infections. Three patients had significant limitations of wrist function. Nine patients described their function as excellent. Ilizarov fixation with bone transport is a viable treatment option for atrophic forearm non-unions with bone loss. Treatment resulted in ablation of infection, healing of atrophic non-unions with minimal complications and early extremity use.Résumé Les pertes de substance osseuses à l'avant-bras résultent d'un traumatisme à haute énergie ou d'une pseudarthrose septique. La méthode d'Ilizarov avec transport osseux donne une fixation stable permettant une mobilisation du poignet et du coude sans implantation permanente de matériel. De 1991 à 2000 11 patients consécutifs présentant une pseudarthrose atrophique avec perte de substance osseuse de l'avant-bras ont été traité ainsi et revus rétrospectivement 2 à 10 ans après. Le délai entre le traumatisme et le traitement étudié était en moyenne de 2,1 ans et le suivi moyen de 6,2 ans. Il y avait

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Fibular autografts for distal defects of the radius

Cited by 38 publications

References 13 publications

Is Intralesional Treatment of Giant Cell Tumor of the Distal Radius Comparable to Resection With Respect to Local Control and Functional Outcome?

Is Intralesional Treatment of Giant Cell Tumor of the Distal Radius Comparable to Resection With Respect to Local Control and Functional Outcome?

Functional Outcome of En Bloc Excision and Osteoarticular Allograft Replacement With the Sauve-Kapandji Procedure for Campanacci Grade 3 Giant-Cell Tumor of the Distal Radius

Treatment of traumatic forearm bone loss with Ilizarov ring fixation and bone transport

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