title: Microsurgical fibular graft for full-length radius reconstruction after giant-cell tumor resection: a case report.
abstract: In this article, we present the treatment of a recurrent giant-cell tumor of the radius with en bloc resection and full-length radius reconstruction with a 24-cm long microsurgical fibular graft. At time of 8-year follow-up, there was no evidence of tumor recurrence. A satisfactory range of motion of the elbow, wrist, and forearm was maintained. There was no instability in the joints, and grip strength measured 63% of the opposite side. With appropriate dynamic tendon transfer, this procedure can provide an alternative method for reconstruction of the full-length radius after tumor resection, with functional and durable results.
authors.affiliation: Department of Orthopedic Surgery, Tongji Hospital, Tongji University, 389 Xincun Road, 200-065 Shanghai, China. yuguangrong2002@yahoo.com.cn
authors.forename: Guang-Rong
authors.initials: GR
authors.lastname: Yu
authors.forename: Feng
authors.initials: F
authors.lastname: Yuan
authors.forename: Shi-Min
authors.initials: SM
authors.lastname: Chang
authors.forename: William C
authors.initials: WC
authors.lastname: Lineaweaver
authors.forename: Feng
authors.initials: F
authors.lastname: Zhang
mesh_terms: D000328:Adult; D001859:Bone Neoplasms / Q000601:surgery*; D005260:Female; D005360:Fibula / Q000637:transplantation*; D005542:Forearm / Q000503:physiopathology; D018212:Giant Cell Tumor of Bone / Q000556:secondary*; D006801:Humans; D016916:Joint Deformities, Acquired / Q000209:etiology; D008866:Microsurgery; D009364:Neoplasm Recurrence, Local / Q000601:surgery*; D011884:Radius; D019651:Plastic Surgery Procedures; D020127:Recovery of Function; D012086:Reoperation; D014457:Ulna / Q000601:surgery; D014955:Wrist Joint