Ulnar buttress arthroplasty after enbloc resection of a giant cell tumor of the distal ulna

Naik, Monappa A; Sujir, Premjit; Rao, Sharath K.; Trıpathy, Sujit Kumar

doi:10.4103/0019-5413.108933

Cited by 11 publications

(14 citation statements)

References 9 publications

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“…4 To avoid the complications related to wrist instability and DRUJ after resection of GCT distal ulna, many procedures have been described in the literature. Harness and Mankin 2 recommended iliac bone graft as ulnar buttress which was also performed by Hashizume et al, 25 Naik et al, 26 and Tsai et al 27 Wurapa and Whipple 28 reconstructed the DRUJ with twostage allograft. Some authors have combined the ECU tenodesis with iliac crest graft to the distal radius.…”

Section: Discussionmentioning

confidence: 99%

Clinical and functional outcomes of reconstruction following en bloc resection for the Campanacci grade III distal ulnar giant cell tumors

Kumar

Rustagi

Talwar

et al. 2022

Journal of Orthopaedics, Trauma and Rehabilitation

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Background: Wide resection of the tumor is essential for the treatment of Campanacci grade III giant cell tumor of the distal ulna but radioulnar convergence and dorsal displacement of the ulnar stump are known complications. Various reconstructive options to reduce these complications have been described in the literature. Methods: Seven patients with Campanacci grade III giant cell tumor distal end of the ulna were treated at our institute by extra-periosteal wide local excision of the tumor followed by reconstruction of the distal radioulnar joint by fixation of tricortical iliac crest graft to the distal end radius using two cancellous screws and extensor carpi ulnaris (ECU) tenodesis for stabilizing the residual ulnar stump. All patients were followed up for an average period of 3.5 years (32–48 months) at regular intervals. Functional outcome and complications if any, were recorded at every follow-up. Results: At final follow-up, the mean range of motion of wrist with 42.1° ± 5.9° of flexion, 72.9° ± 6.4° of extension, 82.1° ± 8.1° of supination and 85.0° ± 5.8° of pronation was achieved. The mean visual analog scale score at the final follow-up was 0.9 ± 0.9. The mean modified Mayo wrist score was 71.4 ± 6.4 with a mean modified Musculoskeletal Tumor Society score of 25.9 ± 0.8 and a mean Disability of Arm, Shoulder, and Hand score of 17.9 ± 1.6 at the final follow-up. The average time for the radiological union of iliac crest graft with the distal end radius was 13.3 weeks. None of the patient reported any complication or recurrence. Conclusion: The reconstruction of distal radioulnar joint by fixation of tricortical iliac crest graft with distal end radius and stabilization of ulnar stump by extensor capi ulnaris tenodesis after the wide resection of distal ulna giant cell tumor is recommended for good to excellent functional outcomes.

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Section: Discussionmentioning

confidence: 99%

Clinical and functional outcomes of reconstruction following en bloc resection for the Campanacci grade III distal ulnar giant cell tumors

Kumar

Rustagi

Talwar

et al. 2022

Journal of Orthopaedics, Trauma and Rehabilitation

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“…Distal ulna resection is another option and it is performed when the tumor is not confined to the cortex, or in the case of a soft tissue component, a pathological fracture, or an unsuccessful previous surgery [ 11 ]. Darrach et al [ 12 ] reported that the distal ulna can be excised sacrificing function and indicated its excision for degenerative conditions.…”

Section: Discussionmentioning

confidence: 99%

Giant cell tumor of distal ulna treated using en-bloc resection combined with extensor carpi ulnaris and flexor carpi ulnaris tendon stabilization: A case report

Solichin¹,

Martika

Wikanjaya

2021

International Journal of Surgery Case Reports

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Highlights Giant cell tumor (GCT) especially in distal ulna is a rare and benign neoplasm, but locally invasive tumor. En-bloc resection combined with extensor carpi ulnaris and flexor carpi ulnaris stabilization was performed to excise GCT of distal ulna. This procedure gives full restoration of forearm function without any limitation and produces excellent DASH score.

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“…These techniques reported pain relief in the majority of the patients but there was no evaluation upon weight loading of the hand [18] . Ulnar buttress arthroplasty with iliac crest autograft and ulnar stump stabilization is another reconstructive procedure and has reported good functional outcomes [20] . Following distal ulna excision, DRUJ prosthesis can be an option to reconstruct the joint.…”

Section: Discussionmentioning

confidence: 99%

Distal radioulnar joint arthroplasty after primary excision of a giant cell tumor of distal ulna: A case report

Viegas¹,

Amaro²,

Júnior³

et al. 2020

Int. J. Case Rep. Orthop.

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We present a 34-year-old man with a giant cell tumor of the distal ulna. Treatment strategy included en bloc excision and distal radioulnar joint arthroplasty. En bloc excision is a good oncological option in GCT of the distal ulna, preventing local recurrence. Reconstructive procedures after distal ulna excision remain a controversial topic. Distal radioulnar joint arthroplasty can provide an excellent functional result with good range of motion, absence of pain and weight bearing capacity.

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Ulnar buttress arthroplasty after enbloc resection of a giant cell tumor of the distal ulna

Cited by 11 publications

References 9 publications

Clinical and functional outcomes of reconstruction following en bloc resection for the Campanacci grade III distal ulnar giant cell tumors

Clinical and functional outcomes of reconstruction following en bloc resection for the Campanacci grade III distal ulnar giant cell tumors

Giant cell tumor of distal ulna treated using en-bloc resection combined with extensor carpi ulnaris and flexor carpi ulnaris tendon stabilization: A case report

Distal radioulnar joint arthroplasty after primary excision of a giant cell tumor of distal ulna: A case report

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