[Reconstruction of the distal radius for primary bone tumors using a non-vascularized fibular graft (report of 4 cases)].
We report four cases of primary bone tumour of the distal radius. Follow-up averaged ten years with a range of four to 13. Each case underwent excision of the tumour followed by reconstruction with a non-vascularised fibular graft. The aim of our study was to investigate the carcinologic, functional and radiological results at an average of ten years after the initial surgery. There were three high grade osteosarcomas and one giant cell tumour of bone. The mean postoperative wrist flexion was 45 degrees, extension was 20 degrees, pronation 30 degrees and supination 50 degrees. Radial tilt was a mean 10 degrees and ulnar tilt 15 degrees. All the patients had satisfactory function so as to be able to perform activities of daily living and to work. Grip strength was normal in three cases and reduced in one. Bone graft healing occurred at a mean of six months with a range of from four to nine months. Resection followed by a non-vascularised fibular graft is an effective way to managing these patients.
Rtaimate
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Clinique Lille-Sud, SOS MAINS, rue Gustave Delory, 59000 Lesquin, France.
Laffargue
P
P
Farez
E
E
Larivière
J
J
Baranzelli
M C
MC
D000293:Adolescent; D000328:Adult; D001696:Biomechanical Phenomena; D001859:Bone Neoplasms / Q000601:surgery*; D005260:Female; D005360:Fibula / Q000637:transplantation*; D018212:Giant Cell Tumor of Bone / Q000473:pathology / Q000601:surgery*; D018737:Hand Strength; D006801:Humans; D008297:Male; D019637:Orthopedic Procedures / Q000379:methods*; D012516:Osteosarcoma / Q000473:pathology / Q000601:surgery*; D017060:Patient Satisfaction; D011187:Posture; D011884:Radius / Q000473:pathology / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000379:methods*; D016896:Treatment Outcome