Functional outcome of en bloc resection of a giant cell tumour of the distal radius and arthrodesis of the wrist and distal ulna using an ipsilateral double barrel segmental ulna bone graft combined with a modified Sauve-Kapandji procedure

Zhang, W.; Zhong, J X; Li, D.; Sun, Chao; Zhao, Hongwei; Gao, Yanbin

doi:10.1177/1753193416664291

Cited by 18 publications

(14 citation statements)

References 22 publications

(25 reference statements)

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“…This could especially be helpful in complex cases with combined soft tissue and bony pathology, which are rare and therefore difficult to teach and learn. Giant cell tumour of the bone is one such example (Zhang et al, 2017). The main hypothesis of this work was verified because the use of a 3D procedural simulator resulted in a better radius shortening by the residents than the use of a bone procedural simulator after learning the distal radius osteotomy technique with those models.…”

Section: Discussionmentioning

confidence: 62%

Teaching of distal radius shortening osteotomy: three-dimensional procedural simulator versus bone procedural simulator

Naroura

Díaz

Xavier³

et al. 2018

J Hand Surg Eur Vol

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In order to facilitate the learning of distal radius shortening osteotomy by junior surgeons, the main assumption was that using a three-dimensional procedural simulator was better than a bone procedural simulator. After viewing a video, ten junior surgeons performed a distal radius shortening osteotomy: five with a bone procedural simulator (Group 1) and five with a three-dimensional procedural simulator (Group 2). All subsequently performed the same surgery on fresh cadaveric bones. The duration of the procedure, shortening of the radius, and the level of osteotomy were significantly better in Group 2. The three-dimensional procedural simulator seems to teach distal radius osteotomy better than a bone model and could be useful in teaching and learning bone surgery of the wrist.

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Section: Discussionmentioning

confidence: 62%

Teaching of distal radius shortening osteotomy: three-dimensional procedural simulator versus bone procedural simulator

Naroura

Díaz

Xavier³

et al. 2018

J Hand Surg Eur Vol

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“…[1][2][3] Arthrodesis seems to be the most practiced procedure, especially because strength is often maintained. 9,[13][14][15][16] Autograft remains the gold standard to reconstruct small loss of bone. For loss of bone greater than 10 cm, vascularized fibular graft is indicated, especially combined with a soft tissue graft if needed.…”

Section: Discussionmentioning

confidence: 99%

“…For loss of bone greater than 10 cm, vascularized fibular graft is indicated, especially combined with a soft tissue graft if needed. 9,10,[13][14][15][16] In this case, we decided to keep the mobility of the radiocarpal joint, to preserve patient's range of motion. We chose allograft because we needed to keep an articular surface opposite to the patient's carpus.…”

Section: Discussionmentioning

confidence: 99%

Radius' Giant Cell Tumor: Allograft with Conservation of Distal Radioulnar Joint

et al. 2019

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Purpose Giant cell tumor of the distal radius are frequent lesions, and different types of surgeries have been described. Functional results, after conservative treatment or arthrodesis, often find a decreased strength and range of motion. The sacrifice of the distal radioulnar joint could be one of the causes. We report the case of a 26-year-old patient who presented with a Campanacci Grade III giant cell tumor of the distal radius. We managed his case by the association of en bloc resection and allograft reconstruction with the preservation of distal radioulnar joint. Hypothesis This procedure could improve functional results, without increasing the risk of recurrence at 2 years follow-up. Case Report The originality of our technique was the possibility of distal radioulnar joint conservation. We preserved a long portion of cortex bone all through the ulnar side of the distal radius. We then used an allograft of distal radius, fixed by a reconstruction anatomical plate. Results At 2 years follow-up, the range of motion was 100° with 60° of palmar flexion, 40° of extension, 75° of pronation, and 70° of supination. Radial and ulnar inclination were 10 and 15°, respectively. MTS (Musculoskeletal Tumor Society Score) 1993 was 88% and DASH score was 6. Concerning grip strength, it was measured at 85% in comparison with the other side. Pronation and supination strengths were 80 and 73%, respectively, in comparison with the other side. At follow-up, standard X-rays showed no recurrence. The allograft was well integrated. Conclusion Conservative treatment of the distal radioulnar joint allowed an almost ad integrum recovery, concerning strengths and range of motion. It allows a better functional recovery, without increasing the risk of recurrence.

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“…Recent literature has shown that there is no difference in long-term functional outcome between fusion and reconstruction group. Translocations of ulna, wrist arthrodesis using segmental iliac crest graft and complex procedure of segmental double barrel ulnar graft arthrodesis with Sauve-Kapandji procedure also produce equally good long-term outcome 12 - 14 .…”

Section: Discussionmentioning

confidence: 99%

Functional Outcome after Treatment of Aggressive Tumours in the Distal Radius: Comparison between Reconstruction using Proximal Fibular Graft and Wrist Fusion

CY¹,

Saad²,

WS³

et al. 2018

Malays Orthop J

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Introduction: Restoration of a functional hand is the ultimate goal following a distal radius tumour resection. The early outcomes of mobile wrist reconstruction are satisfactory; however, long-term results are unpredictable due to late wrist instability and degenerative arthritis. Our aim is to compare mobile wrist reconstruction with wrist fusion (pan-carpal fusion) in our cohort of patients.Materials and Methods: A retrospective cohort study was performed for functional outcomes of all patients who underwent resection for distal radius tumour and treated with either fusion or reconstruction of the wrist in a single institution from years 2000-2013 with a minimum of three years follow-up.Results: Eleven patients were included in the study, six of whom had wrist reconstruction with proximal fibula graft and the remaining five wrist fusion, with a mean follow-up of 6.3 years. The mean Musculoskeletal Tumour Society (MSTS) score was 82.78%, ranging from 70% to 93.3%. Average grip strength compared to the normal contralateral hand was 60.0% for total wrist fusion, which was better than wrist reconstruction with 58.07%. There was no difference in the functional outcome between fusion and mobile reconstruction in our study. Osteoarthritis changes and subluxation of the wrist joint were the most common findings in the long-term follow-up for this group.Conclusion: There was no difference in the functional outcome of the long-term follow-up between the two groups.

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Functional outcome of en bloc resection of a giant cell tumour of the distal radius and arthrodesis of the wrist and distal ulna using an ipsilateral double barrel segmental ulna bone graft combined with a modified Sauve-Kapandji procedure

Abstract: IV, therapeutic.

Cited by 18 publications

References 22 publications

Teaching of distal radius shortening osteotomy: three-dimensional procedural simulator versus bone procedural simulator

Teaching of distal radius shortening osteotomy: three-dimensional procedural simulator versus bone procedural simulator

Radius' Giant Cell Tumor: Allograft with Conservation of Distal Radioulnar Joint

Functional Outcome after Treatment of Aggressive Tumours in the Distal Radius: Comparison between Reconstruction using Proximal Fibular Graft and Wrist Fusion

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