title: Fibulo-scapho-lunate arthrodesis after resection of the distal radius for giant-cell tumor of the bone.
abstract: BACKGROUND
  Giant-cell tumors of the distal radius are rare. They have a high-risk of local recurrence and a risk of pulmonary metastasis. Curettage alone or combined with adjunctive agents is often associated with local recurrence.
  
  
  METHODS
  Three patients with giant-cell tumor of the distal radius are presented. All patients showed Campanacci grade 3 lesions. All patients underwent complete distal radius resection and reconstruction with a vascularized fibular graft distally fused with the scaphoid and the lunate, allowing midcarpal motion.
  
  
  RESULTS
  The follow-up period ranged from 6 to 60 months. For all three patients, emotional acceptance was excellent. The postoperative motion of the wrist was good, with a range of motion of 30-0-30°, 40-0-0°, and 30-0-10° (extension-flexion). There was neither tumor recurrence nor pulmonary metastasis.
  
  
  CONCLUSIONS
  Fibulo-scapho-lunate fusion is an elegant method of distal radius reconstruction with good functional outcome and low risk of pulmonary metastasis.
authors.affiliation: BG Unfallklinik Tübingen, Department of Hand, Plastic and Reconstructive Surgery, Burn Center, Eberhard Karls University Tübingen, Tübingen, Germany. patrickjaminet@ googlemail.com
authors.forename: Patrick
authors.initials: P
authors.lastname: Jaminet
authors.forename: Afshin
authors.initials: A
authors.lastname: Rahmanian-Schwarz
authors.forename: Mathias
authors.initials: M
authors.lastname: Pfau
authors.forename: Andreas
authors.initials: A
authors.lastname: Nusche
authors.forename: Hans-Eberhard
authors.initials: HE
authors.lastname: Schaller
authors.forename: Oliver
authors.initials: O
authors.lastname: Lotter
mesh_terms: D000328:Adult; D001174:Arthrodesis / Q000379:methods*; D001859:Bone Neoplasms / Q000601:surgery*; D016025:Bone Transplantation / Q000379:methods*; D005260:Female; D005360:Fibula / Q000637:transplantation*; D005500:Follow-Up Studies; D058752:Free Tissue Flaps; D018212:Giant Cell Tumor of Bone / Q000601:surgery*; D006801:Humans; D008297:Male; D008866:Microsurgery; D008875:Middle Aged; D011884:Radius / Q000473:pathology / Q000601:surgery*; D016896:Treatment Outcome