Giant-cell tumors in the distal end of the radius. Treatment by resection and fibular autograft interpositional arthrodesis.
Eighteen giant-cell tumors in the distal end of the radius were treated by block resection and arthrodesis of the wrist utilizing a fibular autograft. The mean length of follow-up was 7.1 years. Local recurrence occurred in five patients, and one patient died of pulmonary metastases. In five patients, non-union developed between the graft and the radius. Three patients sustained a fracture of the graft. No patient had a pseudarthrosis. The average grip strength was 40 per cent of that of the unaffected hand. Pain was absent or slight. No patient required an amputation.
D000293:Adolescent; D000328:Adult; D000368:Aged; D001174:Arthrodesis / Q000379:methods*; D005260:Female; D005360:Fibula / Q000637:transplantation*; D005500:Follow-Up Studies; D005870:Giant Cell Tumors / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local; D011183:Postoperative Complications / Q000209:etiology; D011859:Radiography; D011884:Radius / Q000601:surgery*; D013997:Time Factors; D014945:Wound Healing; D014955:Wrist Joint / Q000503:physiopathology