Prieto RK, Neira GJA, González MCA

Language: Spanish
References: 20
Page: 39-44
PDF size: 370.59 Kb.

ABSTRACT

Introduction: the giant cell tumor represents 10 to 12% of benign tumors with aggressive behavior with the capacity for local or distant invasion, which increases if it is a grade III of the Campanacci classification, in which en bloc resection is recommended given its high degree of recurrence. Due the high level of function that this region presents, reconstruction of the distal radius continues to be a challenge and there is still no technique defined as the gold standard, owing to this multiple surgical techniques have been developed, within which vascularized flaps continue to be used Being one of the best options, especially if it involves the fibula, however, multiple complications have been described, the most frequent is non-union; but there are no studies focused on the analysis of its treatment. This time we describe a modified technique for taking a pedicled ulnar periosteal vascularized flap from the anterior interosseous artery, with a dorsal approach for the treatment of radial non-union after reconstruction with a vascularized fibula. Objective: show the clinical and radiographic results of the use of the vascularized ulnar periosteal pedicled flap (UVPPF) from the anterior interosseous artery (AIA). In addition, describe a modified surgical technique through a dorsal approach in a patient with nonunion of the radius. Presentation of case: a 45-year-old patient with history of Campanacci grade III giant cell tumor (GCT) of the distal radius treated with en bloc resection and immediate reconstruction with a vascularized fibula autograft that develop a nonunion of the radius treated with a CPVC with a clinically and radiographically satisfactory results. Conclusion: the UVPFF may be considered a reliable and valuable surgical option for forearm post- reconstruction complications in adults.

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