[Free microvascular fibula graft for skeletal reconstruction of the distal radius: 5 years follow-up after en-bloc resection of a giant cell tumour].
A giant cell tumour of the distal radius or of the carpal bones, verified by incisional biopsies, should be approached as a low-grade malignancy. Lesions that arise in the bones of the hand or the wrist have a greater propensity to metastasise, and have a higher risk of local recurrence. In this case report we describe a 54-year-old women with a giant cell tumour of the distal radius (Campanacci grade III lesion), having a follow-up of five years without signs of local recurrence or metastatic disease. The general principles of and options for surgical treatment are discussed.
Franz
T
T
Luzerner Kantonsspital, Abteilung Hand- und Plastische Chirurgie, Luzern, Schweiz. torsten.franz@insel.ch
Krawczyk
T
T
Eggli
S
S
Wartburg
U von
Uv
D000714:Anastomosis, Surgical; D001174:Arthrodesis / Q000379:methods; D001706:Biopsy; D001859:Bone Neoplasms / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D001860:Bone Plates; D001864:Bone Wires; D016267:External Fixators; D005260:Female; D005360:Fibula / Q000098:blood supply* / Q000637:transplantation*; D005500:Follow-Up Studies; D018212:Giant Cell Tumor of Bone / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D018737:Hand Strength; D006801:Humans; D008866:Microsurgery / Q000379:methods*; D008875:Middle Aged; D009367:Neoplasm Staging; D010147:Pain Measurement; D011183:Postoperative Complications / Q000175:diagnosis; D017534:Radial Artery / Q000601:surgery*; D011884:Radius / Q000098:blood supply* / Q000473:pathology / Q000601:surgery*; D016059:Range of Motion, Articular / Q000502:physiology; D016038:Skin Transplantation; D014955:Wrist Joint / Q000098:blood supply* / Q000473:pathology / Q000601:surgery*