Recidivant giant cell tumor: treatment with resection and reconstruction with ulnar translocation

Recidivant giant cell tumor: treatment with resection and reconstruction with ulnar translocation

Marie C. Pellat-Fons 1, Ranulfo Romo-Rodríguez 1, Fernanda Rodríguez-Reyes 2, Raúl Álvarez-San Martín 1

1 Servicio de Ortopedia y Traumatología, Centro Médico ABC, Ciudad de México, México; 2 Anatomía Patológica. Centro Médico ABC, Ciudad de México, México

*Correspondence: Marie C. Pellat-Fons. Email: mcpellat@gmail.com

Abstract

Introduction. Distal radius is the third most common localization for a giant cell tumor. Treatment with curettage and cementation of a Campanacci grade II lesion can lead to recurrence of the tumor.

Objectives. To describe a novel technique that allows reconstruction of the distal radius after a bloc resection.

Material and methods. An unusual clinical case of a recurrent giant cell tumor of the distal radius is presented, as well as its functional and clinical results after its resection and subsequent reconstruction with a transposition of the ipsilateral ulna as a vascularized bone graft, associated with a wrist arthrodesis. After the intervention, the patient is free of disease, he presents full range of motion and is asymptomatic and satisfied with the cosmesis of his wrist and forearm. This is a safe technique that presents excellent functional and clinical results, it does not cause morbidity in other extremities and does not require the use of a microsurgical technique or bone banks.

Keywords: Giant cell tumor. Recidivist tumor. Ulnar transposition.

Contents

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