title: Functional outcome following excision of a tumour and reconstruction of the distal radius.
abstract: We retrospectively studied the functional and oncological results of 15 patients after reconstruction of the distal radius with osteoarticular allograft or non-vascularised fibular graft following wide excision of an aggressive benign or malignant tumour. Eight patients underwent osteoarticular allograft and seven patients had a non-vascularised autogenous fibular graft reconstruction. The average time for incorporation of the graft was 6 and 5 months in each reconstruction respectively. There was no tumour recurrence after follow up over 41.5-95.5 (average 60.5) months. All patients had good and excellent functional results. Three patients in the group reconstructed with osteoarticular allograft had plate loosening and graft fractures which were successfully treated subsequently.
authors.affiliation: Department of Orthopaedic Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, 10700, Thailand. siaas@mahidol.ac.th
authors.forename: Apichat
authors.initials: A
authors.lastname: Asavamongkolkul
authors.forename: Saranatra
authors.initials: S
authors.lastname: Waikakul
authors.forename: Rapin
authors.initials: R
authors.lastname: Phimolsarnti
authors.forename: Piya
authors.initials: P
authors.lastname: Kiatisevi
mesh_terms: D000293:Adolescent; D000328:Adult; D001845:Bone Cysts / Q000601:surgery; D001859:Bone Neoplasms / Q000601:surgery*; D001860:Bone Plates; D016025:Bone Transplantation / Q000295:instrumentation / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D018212:Giant Cell Tumor of Bone / Q000601:surgery*; D051677:Histiocytoma, Malignant Fibrous / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012516:Osteosarcoma / Q000601:surgery*; D011859:Radiography; D011884:Radius / Q000000981:diagnostic imaging / Q000502:physiology / Q000601:surgery*; D012189:Retrospective Studies; D016896:Treatment Outcome; D055815:Young Adult