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ISSN 2992-8036 (Electronic)
ISSN 2306-4102 (Print)
Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología

2011, Number 1

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Acta Ortop Mex 2011; 25 (1)

Massive allograft and wrist arthrodesis for a giant cell tumor of the distal radius. Report of two cases and literature review

Sánchez-Torres LJ, Santos-Hernández M

Language: Spanish
References: 42
Page: 50-56
PDF size: 523.80 Kb.


ABSTRACT

Introduction: The giant cell tumor represents 5% of all the primary bone tumors and 20% of the benign bone neoplasias. The most common locations are the distal femur and the proximal tibia (50%) as well as the distal radius (10%). Treatment methods include the intralesional resection of the latent and active tumors, and broad resection for the aggressive lesions. The wrist reconstruction after broad resection of the distal radius represents a challenge for the orthopedic surgeon. Objective: To present 2 clinical cases of patients diagnosed with giant cell tumor of the distal radius who were treated with broad resection and placement of a massive allograft with wrist arthrodesis. To perform a bibliographic review and the analysis of the different treatment methods described. Material and methods: Description of the treatment and course of each case, as well as a bibliographic review and the analysis of the treatments found. Results: Radiologic data of the allograft integration at 11 months and a functionality which was compatible with all the activities of daily living. Discussion: The massive allograft of the distal radius with wrist arthrodesis represents a very safe and appropriate option for the reconstruction of this anatomic segment after broad resection.


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