title: The outcome of resection of the distal ulna for tumour without soft-tissue or prosthetic reconstruction.
abstract: In patients with a tumour affecting the distal ulna it is difficult to preserve the function of the wrist following extensive local resection. We report the outcome of 12 patients (nine female, three male) who underwent excision of the distal ulna without local soft-tissue reconstruction. In six patients, an aggressive benign tumour was present and six had a malignant tumour. At a mean follow-up of 64 months (15 to 132) the mean Musculoskeletal Tumour score was 64% (40% to 93%) and the mean DASH score was 35 (10 to 80). The radiological appearances were satisfactory in most patients. Local recurrence occurred in one patient with benign disease and two with malignant disease. The functional outcome was thus satisfactory at a mean follow-up in excess of five years, with a relatively low rate of complications. The authors conclude that complex reconstructive soft-tissue procedures may not be needed in these patients.
authors.affiliation: Guy's and St Thomas' NHS Foundation Trust, Westminster Bridge Road, London, SE1 7EH, UK.
authors.forename: B S
authors.initials: BS
authors.lastname: Dhinsa
authors.affiliation: Manchester Royal Infirmary, Oxford Road, Manchester M13 9WL, UK.
authors.forename: J J
authors.initials: JJ
authors.lastname: Gregory
authors.forename: D H
authors.initials: DH
authors.lastname: Nawabi
authors.affiliation: Royal National Orthopaedic Hospital NHS Trust, Brockley Hill, Stanmore, Middlesex HA7 4LP, UK.
authors.forename: D
authors.initials: D
authors.lastname: Nawabi
authors.affiliation: Royal National Orthopaedic Hospital NHS Trust, Brockley Hill, Stanmore, Middlesex HA7 4LP, UK.
authors.forename: S
authors.initials: S
authors.lastname: Khan
authors.affiliation: Royal National Orthopaedic Hospital NHS Trust, Brockley Hill, Stanmore, Middlesex HA7 4LP, UK.
authors.forename: R
authors.initials: R
authors.lastname: Pollock
authors.affiliation: Royal National Orthopaedic Hospital NHS Trust, Brockley Hill, Stanmore, Middlesex HA7 4LP, UK.
authors.forename: W J
authors.initials: WJ
authors.lastname: Aston
authors.affiliation: Royal National Orthopaedic Hospital NHS Trust, Brockley Hill, Stanmore, Middlesex HA7 4LP, UK.
authors.forename: J A
authors.initials: JA
authors.lastname: Skinner
authors.affiliation: Royal National Orthopaedic Hospital NHS Trust, Brockley Hill, Stanmore, Middlesex HA7 4LP, UK.
authors.forename: T W R
authors.initials: TW
authors.lastname: Briggs
mesh_terms: D000328:Adult; D000368:Aged; D001706:Biopsy; D001859:Bone Neoplasms / Q000175:diagnosis / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D019637:Orthopedic Procedures / Q000379:methods*; D019736:Prostheses and Implants; D011859:Radiography; D019651:Plastic Surgery Procedures; D012189:Retrospective Studies; D012509:Sarcoma / Q000175:diagnosis / Q000601:surgery*; D013997:Time Factors; D016896:Treatment Outcome; D014457:Ulna / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D055815:Young Adult
keywords: Fibromatosis; Reconstruction; Resection; Sarcoma; Tumour; Ulnar