Using Fibula Grafts to Treat Giant Cell Tumors in the Wrist
Author Information
Author(s): Saini Raghav, Bali Kamal, Bachhal Vikas, Mootha Aditya K, Dhillon Mandeep S, Gill Shivinder S
Primary Institution: Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India
Hypothesis
Can non-vascularized fibular autograft reconstruction effectively treat aggressive giant cell tumors of the distal radius?
Conclusion
Autogenous non-vascularized fibular autograft reconstruction can be a reasonable option after en bloc excision of Grade II/III giant cell tumors of the distal radius.
Supporting Evidence
- The average range of movements was 64% compared to the normal side.
- Mean grip strength of the involved side was 71% of the normal side.
- Overall, 50% of patients experienced complications, including wrist subluxation and non-union.
Takeaway
Doctors can use a piece of bone from the leg to help fix a problem in the wrist caused by a type of tumor, and it can work pretty well.
Methodology
Twelve patients underwent wide excision of the tumor followed by reconstruction with ipsilateral non-vascularized fibula grafting.
Limitations
The study had a small sample size and a relatively high complication rate.
Participant Demographics
The mean age of participants was 34.7 years, with 7 males and 5 females.
Digital Object Identifier (DOI)
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