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Erschienen in: International Orthopaedics 4/2009

01.08.2009 | Original Paper

Custom prosthetic replacement for distal radial tumours

verfasst von: Mayil Vahanan Natarajan, Jagadesh Chandra Bose, J. Viswanath, Navin Balasubramanian, Mohamed Sameer

Erschienen in: International Orthopaedics | Ausgabe 4/2009

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Abstract

We analysed the results of 24 cases of aggressive benign and malignant tumours of the distal radius treated by resection and prosthetic replacement between 1995 and 2006. Patient ages ranged from 18 to 74 years, averaging 33 years; 18 were males. Recurrent giant cell tumour was the most common tumour. The prosthesis used was a bipolar hinge custom mega prosthesis manufactured locally. Average follow-up was 78 months. The average Musculoskeletal Tumor Society (MSTS) functional score achieved was 75%. The ten-year prosthesis survival was rate 87.5%. Infection was the most common complication.
Literatur
1.
Zurück zum Zitat Briggs TWR, Cobb J, McAuliffe T, Pringle J, Kemp H (1990) Giant cell tumours of bone. J Bone Joint Surg 72B:937 Briggs TWR, Cobb J, McAuliffe T, Pringle J, Kemp H (1990) Giant cell tumours of bone. J Bone Joint Surg 72B:937
2.
Zurück zum Zitat Campanacci M, Laus M, Boriani S (1979) Resection of the distal end of the radius. Ital J Orthop Traumatol 5(2):145–152PubMed Campanacci M, Laus M, Boriani S (1979) Resection of the distal end of the radius. Ital J Orthop Traumatol 5(2):145–152PubMed
3.
Zurück zum Zitat Eckardt JJ, Grogan TJ (1986) Giant cell tumor of bone. Clin Orthop Relat Res (204):45–58 Eckardt JJ, Grogan TJ (1986) Giant cell tumor of bone. Clin Orthop Relat Res (204):45–58
4.
Zurück zum Zitat Enneking WF, Spanier SS, Goodman MA (2003) A system for the surgical staging of musculoskeletal sarcoma. Clin Orthop Relat Res (415):4–18 Enneking WF, Spanier SS, Goodman MA (2003) A system for the surgical staging of musculoskeletal sarcoma. Clin Orthop Relat Res (415):4–18
5.
Zurück zum Zitat Enneking WF, Dunham W, Gebhardt MC, Malawar M, Pritchard DJ (1993) A system for the functional evaluation of reconstructive procedures after surgical treatment of tumors of the musculoskeletal system. Clin Orthop Relat Res (286):241–246 Enneking WF, Dunham W, Gebhardt MC, Malawar M, Pritchard DJ (1993) A system for the functional evaluation of reconstructive procedures after surgical treatment of tumors of the musculoskeletal system. Clin Orthop Relat Res (286):241–246
6.
Zurück zum Zitat Gold AM (1957) Use of a prosthesis for the distal portion of the radius following resection of a recurrent giant-cell tumor. J Bone Joint Surg Am 39(6):1374–1380PubMed Gold AM (1957) Use of a prosthesis for the distal portion of the radius following resection of a recurrent giant-cell tumor. J Bone Joint Surg Am 39(6):1374–1380PubMed
7.
Zurück zum Zitat Goldenberg RR, Campbell CJ, Bonfiglo M (1970) Giant-cell tumor of bone. An analysis of two hundred and eighteen cases. J Bone Joint Surg 52:619–663 Goldenberg RR, Campbell CJ, Bonfiglo M (1970) Giant-cell tumor of bone. An analysis of two hundred and eighteen cases. J Bone Joint Surg 52:619–663
8.
Zurück zum Zitat Harness NG, Mankin HJ (2004) Giant-cell tumor of the distal forearm. J Hand Surg [Am] 29(2):188–193CrossRef Harness NG, Mankin HJ (2004) Giant-cell tumor of the distal forearm. J Hand Surg [Am] 29(2):188–193CrossRef
9.
Zurück zum Zitat Hatano H, Morita T, Kobayashi H, Otsuka H (2006) A ceramic prosthesis for the treatment of tumours of the distal radius. J Bone Joint Surg Br 88(12):1656–1658PubMedCrossRef Hatano H, Morita T, Kobayashi H, Otsuka H (2006) A ceramic prosthesis for the treatment of tumours of the distal radius. J Bone Joint Surg Br 88(12):1656–1658PubMedCrossRef
10.
Zurück zum Zitat Kaplan EL, Meier P (1958) Nonparametric estimation from incomplete observation. J Am Stat Assoc 53:457–481CrossRef Kaplan EL, Meier P (1958) Nonparametric estimation from incomplete observation. J Am Stat Assoc 53:457–481CrossRef
11.
Zurück zum Zitat Kocher MS, Gebhardt MC, Mankin HJ (1998) Reconstruction of the distal aspect of the radius with use of an osteoarticular allograft after excision of a skeletal tumor. J Bone Joint Surg Am 80(3):407–419PubMed Kocher MS, Gebhardt MC, Mankin HJ (1998) Reconstruction of the distal aspect of the radius with use of an osteoarticular allograft after excision of a skeletal tumor. J Bone Joint Surg Am 80(3):407–419PubMed
12.
Zurück zum Zitat Labs K, Perka C, Schmidt RG (2001) Treatment of stages 2 and 3 giant-cell tumor. Arch Orthop Trauma Surg 121(1–2):83–86PubMedCrossRef Labs K, Perka C, Schmidt RG (2001) Treatment of stages 2 and 3 giant-cell tumor. Arch Orthop Trauma Surg 121(1–2):83–86PubMedCrossRef
13.
Zurück zum Zitat Lackman RD, McDonald DJ, Beckenbaugh RD, Sim FH (1987) Fibular reconstruction for giant cell tumor of the distal radius. Clin Orthop Relat Res (218):232–238 Lackman RD, McDonald DJ, Beckenbaugh RD, Sim FH (1987) Fibular reconstruction for giant cell tumor of the distal radius. Clin Orthop Relat Res (218):232–238
14.
Zurück zum Zitat Leung PC, Chan KT (1986) Giant cell tumor of the distal end of the radius treated by the resection and free vascularized iliac crest graft. Clin Orthop Relat Res (202):232–236 Leung PC, Chan KT (1986) Giant cell tumor of the distal end of the radius treated by the resection and free vascularized iliac crest graft. Clin Orthop Relat Res (202):232–236
15.
Zurück zum Zitat Malek F, Krueger P, Hatmi ZN, Malayeri AA, Faezipour H, O’Donnell RJ (2006) Local control of long bone giant cell tumour using curettage, burring and bone grafting without adjuvant therapy. Int Orthop 30:495–498PubMedCrossRef Malek F, Krueger P, Hatmi ZN, Malayeri AA, Faezipour H, O’Donnell RJ (2006) Local control of long bone giant cell tumour using curettage, burring and bone grafting without adjuvant therapy. Int Orthop 30:495–498PubMedCrossRef
16.
Zurück zum Zitat Maruthainar N, Zambakidis C, Harper G, Calder D, Cannon SR, Briggs TW (2002) Functional outcome following excision of tumours of the distal radius and reconstruction by autologous non-vascularized osteoarticular fibula grafting. J Hand Surg [Br] 27(2):171–174 Maruthainar N, Zambakidis C, Harper G, Calder D, Cannon SR, Briggs TW (2002) Functional outcome following excision of tumours of the distal radius and reconstruction by autologous non-vascularized osteoarticular fibula grafting. J Hand Surg [Br] 27(2):171–174
17.
Zurück zum Zitat Matejovsky Z Jr, Matejovsky Z, Kofranek I (2006) Massive allografts in tumour surgery. Int Orthop 30:478–483PubMedCrossRef Matejovsky Z Jr, Matejovsky Z, Kofranek I (2006) Massive allografts in tumour surgery. Int Orthop 30:478–483PubMedCrossRef
18.
Zurück zum Zitat O’Donnell RJ, Springfield DS, Motwani HK, Ready JE, Gebhardt MC, Mankin HJ (1994) Recurrence of giant-cell tumors of the long bones after curettage and packing with cement. J Bone Joint Surg Am 76(12):1827–1833PubMed O’Donnell RJ, Springfield DS, Motwani HK, Ready JE, Gebhardt MC, Mankin HJ (1994) Recurrence of giant-cell tumors of the long bones after curettage and packing with cement. J Bone Joint Surg Am 76(12):1827–1833PubMed
19.
Zurück zum Zitat Pho RW (1981) Malignant giant-cell tumor of the distal end of the radius treated by a free vascularized fibular transplant. J Bone Joint Surg Am 63(6):877–884PubMed Pho RW (1981) Malignant giant-cell tumor of the distal end of the radius treated by a free vascularized fibular transplant. J Bone Joint Surg Am 63(6):877–884PubMed
20.
Zurück zum Zitat Seradge H (1982) Distal ulnar translocation in the treatment of giant-cell tumors of the distal end of the radius. J Bone Joint Surg Am 64(1):67–73PubMed Seradge H (1982) Distal ulnar translocation in the treatment of giant-cell tumors of the distal end of the radius. J Bone Joint Surg Am 64(1):67–73PubMed
21.
Zurück zum Zitat Sheth DS, Healey JH, Sobel M, Lane JM, Marcove RC (1995) Giant cell tumor of the distal radius. J Hand Surg [Am] 20(3):432–440CrossRef Sheth DS, Healey JH, Sobel M, Lane JM, Marcove RC (1995) Giant cell tumor of the distal radius. J Hand Surg [Am] 20(3):432–440CrossRef
22.
Zurück zum Zitat Szendröi M (2004) Giant-cell tumour of bone. J Bone Joint Surg Br 86(1):5–12PubMed Szendröi M (2004) Giant-cell tumour of bone. J Bone Joint Surg Br 86(1):5–12PubMed
Metadaten
Titel
Custom prosthetic replacement for distal radial tumours
verfasst von
Mayil Vahanan Natarajan
Jagadesh Chandra Bose
J. Viswanath
Navin Balasubramanian
Mohamed Sameer
Publikationsdatum
01.08.2009
Verlag
Springer-Verlag
Erschienen in
International Orthopaedics / Ausgabe 4/2009
Print ISSN: 0341-2695
Elektronische ISSN: 1432-5195
DOI
https://doi.org/10.1007/s00264-009-0732-2

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