title: Functional outcome of en bloc resection of a giant cell tumour of the distal radius and arthrodesis of the wrist and distal ulna using an ipsilateral double barrel segmental ulna bone graft combined with a modified Sauve-Kapandji procedure.
abstract: Giant cell tumour of the distal radius is a locally aggressive lesion. In this study, we performed a wrist arthrodesis reconstruction with an ipsilateral double barrel segmental ulnar bone graft combined with a modified Sauve-Kapandji procedure for a giant cell tumour of the distal radius. From January 2007 to September 2013, we followed eight patients for a mean duration of 36 months. One patient developed a recurrence and was treated by amputation; the other seven patients achieved radiological union in about 8 months. There was no wrist instability, deformation or dislocation; the mean range of motion of the forearm achieved 75° of supination and 70° of pronation. The patients could recover reasonable grip strength. This new operative procedure can excise the tumour with a low rate of recurrence, fewer functional deficits and fewer complications than reported for other procedures.
  
  
  METHODS
  IV, therapeutic.
authors: 1 Department of Orthopedics, Shandong Provincial Hospital Affiliated to Shandong University, Jinan, China.
authors: W
authors: W
authors: Zhang
authors: 2 Department of Orthopedics, Jinan Central Hospital, Jinan, China.
authors: J
authors: J
authors: Zhong
authors: 1 Department of Orthopedics, Shandong Provincial Hospital Affiliated to Shandong University, Jinan, China.
authors: D
authors: D
authors: Li
authors: 1 Department of Orthopedics, Shandong Provincial Hospital Affiliated to Shandong University, Jinan, China.
authors: C
authors: C
authors: Sun
authors: 3 Center for Reproductive Medicine, Shandong Provincial Hospital Affiliated to Shandong University, Jinan, China.
authors: H
authors: H
authors: Zhao
authors: 1 Department of Orthopedics, Shandong Provincial Hospital Affiliated to Shandong University, Jinan, China.
authors: Y
authors: Y
authors: Gao
mesh_terms: D000328:Adult; D001174:Arthrodesis / Q000379:methods*; D001859:Bone Neoplasms / Q000473:pathology / Q000601:surgery*; D016025:Bone Transplantation / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D018212:Giant Cell Tumor of Bone / Q000473:pathology / Q000601:surgery*; D018737:Hand Strength; D006801:Humans; D008297:Male; D008875:Middle Aged; D011884:Radius; D016059:Range of Motion, Articular; D020127:Recovery of Function; D016896:Treatment Outcome; D014457:Ulna / Q000637:transplantation*; D014955:Wrist Joint; D055815:Young Adult
keywords: Distal radius; giant cell tumours; modified Sauve-Kapandji procedure; wrist arthrodesis