Arthrodesis of the Distal Radio with Massive Iliac Crest Bone Autograft in a Giant Cell Tumor: A Case Report

Authors

  • Luis C. Gómez Instituto Nacional de Cancerología
  • Camilo Soto Instituto Nacional de Cancerología
  • Andrés A. Pinzón Instituto Nacional de Cancerología
  • Felipe Zamora Instituto Nacional de Cancerología

Keywords:

Autografting, arthrodesis, giant cell, wrist

Abstract

Giant cell tumors appear in approximately 5% of all benign bone tumors in adults; despite its benignity, it is usually aggressive, leading to severe functional disability and limitations. Techniques have been described for the management of this type of tumor in the radio distal using surgical resection, application of allograft, intralesional curettage and cement augmentation. In this article we report on the case of a female patient with a giant cell tumor in the radio distal treated with wide resection of the lesion and reconstruction with massive iliac crest bone autograft. The technique is described and a report is provided on the functional result.

Author Biographies

Luis C. Gómez, Instituto Nacional de Cancerología

Grupo de Ortopedia, Instituto Nacional de Cancerología, Bogotá, D. C., Colombia

Camilo Soto, Instituto Nacional de Cancerología

Grupo de Ortopedia, Instituto Nacional de Cancerología, Bogotá, D. C., Colombia

Andrés A. Pinzón, Instituto Nacional de Cancerología

Grupo de Ortopedia, Instituto Nacional de Cancerología, Bogotá, D. C., Colombia

Felipe Zamora, Instituto Nacional de Cancerología

Grupo de Investigación Clínica, Instituto Nacional de Cancerología, Bogotá, D. C., Colombia

References

Mc Donald D, Weber KL. Giant Cell Tumour. En: Schwartz HS, ed. Orthopaedic knowledge update: musculoskeletal tumors. Rosemont, IL: American Academy of Orthopaedic Surgeons; 2007. p. 133-40.

Campanacci M, Giunti A, Olmi R. Giant cell tumors of bone. A study of 209 cases with long-term follow up in 130. Ital J Orthop Traumatol. 1975;1:153-80.

Mendenhall WM , RA Zlotecki , MT Scarborough, et al. Giant cell tumours of bone. Am J Clin Oncol. 2006;29:96-9.

https://doi.org/10.1097/01.coc.0000195089.11620.b7

Campanacci M, Baldini N, Boriani S, et al. Giant cell tumour of bone. J Bone Joint Surg Am. 1987;9:106-14.

https://doi.org/10.2106/00004623-198769010-00018

Ben Amor H, Zouari M. Giant cell tumors of the distal end of the radius treated by resection-arthrodesis. Act Ortop Belga. 1998;64:41-46.

Cheng CY, Shih HN. Treatment of giant cell tumor of the distal radius. Clin Orthop Rel Res. 2001;383:221-8.

https://doi.org/10.1097/00003086-200102000-00026

Ihara K, Doi K. Vascularized fibular graft after excision of giant cell tumor of the distal radius. Clin Orthop Rel Res. 1999;359:189-196.

https://doi.org/10.1097/00003086-199902000-00020

Leung PC, Chan KT. Giant cell tumor of the distal end of the radius treated by the resection and free vascularized iliac crest graft. Clin Orthop Rel Res.1986;202:232-36.

https://doi.org/10.1097/00003086-198601000-00033

Athanasian E. Aneurysmal bone cyst and giant cell tumor of bone of the hand and distal radius. Hand Clin. 2004;20:269-81.

https://doi.org/10.1016/j.hcl.2004.03.016

Blackley HR, Wunder JS. Treatment of giant-cell tumors of long bones with curettage and bone-grafting. J Bone Joint Surg. 1999;81:811-20.

https://doi.org/10.2106/00004623-199906000-00008

Kocher M, Gebhardt M. Reconstruction of the distal aspect of the radius with use of an osteoarticular allograft after excision of a skeletal tumor. J Bone Joint Surg. 1998;80A:407-18.

https://doi.org/10.2106/00004623-199803000-00014

Bianchi G, Donati EL, Staals, M. Osteoarticular allograft reconstruction of the distal radius after bone tumor resection. J Hand Surg Br. 2005;30:369-73.

https://doi.org/10.1016/J.JHSB.2005.04.006

Maruthainar C, Zambakidis G, Harper D, et al. Functional outcome following excision of tumours of the distal radius and reconstruction by autologous non-vascularizes osteoarticular fibula grafting. J Hand Surg Br. 2002;27B:171-4.

https://doi.org/10.1054/JHSB.2001.0707

Szabo RM, Thorson EP, Raskind JR. Allograft replacement with distal radioulnar joint fusion and ulnar osteotomy for treatment of giant cell tumors of the distal radius. J Hand Surg. 1990;6. 829-33.

https://doi.org/10.1016/0363-5023(90)90018-M

Disabilities of the Arm, Shoulder and Hand (DASH). The disabilities of the arm, shoulder and hand outcome measure [internet]. 2007 [citado: 13 de junio de 2007]. Disponible en: http://www.dash.iwh.on.ca/about.

Disabilities of the Arm, Shoulder and Hand (DASH). Scoring the DASH Outcome Measure [internet]. 2007 [citado: 13 de junio de 2007]. Disponible en: http://www.dash.iwh.on.ca/scoring.

How to Cite

[1]
Gómez, L.C. et al. 2012. Arthrodesis of the Distal Radio with Massive Iliac Crest Bone Autograft in a Giant Cell Tumor: A Case Report. Revista Colombiana de Cancerología. 16, 3 (Sep. 2012), 182–186.

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Published

2012-09-01

Issue

Section

Reportes de caso