title: [Massive allograft and wrist arthrodesis for a giant cell tumor of the distal radius. Report of two cases and literature review].
abstract: BACKGROUND
  The giant cell tumor represents 5% of all the primary bone tumors and 20% of the benign bone neoplasias. The most common locations are the distal femur and the proximal tibia (50%) as well as the distal radius (10%). Treatment methods include the intralesional resection of the latent and active tumors, and broad resection for the aggressive lesions. The wrist reconstruction after broad resection of the distal radius represents a challenge for the orthopedic surgeon.
  
  
  OBJECTIVE
  To present 2 clinical cases of patients diagnosed with giant cell tumor of the distal radius who were treated with broad resection and placement of a massive allograft with wrist arthrodesis. To perform a bibliographic review and the analysis of the different treatment methods described.
  
  
  METHODS
  Description of the treatment and course of each case, as well as a bibliographic review and the analysis of the treatments found.
  
  
  RESULTS
  Radiologic data of the allograft integration at 11 months and a functionality which was compatible with all the activities of daily living.
  
  
  CONCLUSIONS
  The massive allograft of the distal radius with wrist arthrodesis represents a very safe and appropriate option for the reconstruction of this anatomic segment after broad resection.
authors.affiliation: Servicio de Oncología Ortopédica, Unidad Médica de Alta Especialidad en Traumatología y Ortopedia, Centro Médico del Noreste, IMSS, Monterrey, Nuevo León. jairst@axtel.net
authors.forename: L J
authors.initials: LJ
authors.lastname: Sánchez-Torres
authors.forename: M
authors.initials: M
authors.lastname: Santos-Hernández
mesh_terms: D000328:Adult; D001174:Arthrodesis; D001859:Bone Neoplasms / Q000601:surgery*; D005260:Female; D018212:Giant Cell Tumor of Bone / Q000601:surgery*; D006801:Humans; D008875:Middle Aged; D011884:Radius / Q000637:transplantation*