Archives of orthopaedic and traumatic surgery

, Volume 98, Issue 4, pp 285–287 | Cite as

Application of free autogenous fibular graft in the treatment of aggressive bone tumours of the distal end of the radius

  • P. Salenius
  • S. Santavirta
  • O. Kiviluoto
  • E. V. S. Koskinen
Article

Summary

Long-term results of the application of free autogenous fibular graft in the treatment of aggressive bone tumours of the distal end of the radius are presented. Six patients underwent radical resection of the tumour including the articular surface of the distal radius during the period 1969 to 1978, the average follow-up time being 5 years. In one case the tumour was low grade chondrosarcoma, in three cases a giant cell tumour grade two to three and in the remaining two a hemangioma. Five to twelve cm of the distal radius was resected and the defect was replaced using the ipsilateral proximal part of the fibula as free graft. Osteosynthesis was performed end to end with a plate fixation, or side to side with screw fixation. At follow-up, the range of motion in the radiocarpal joint was normal or close to normal in each case and all patients had returned to work within 6 months of the operation. None of the patients presented a recidive of the tumour.

Zusammenfassung

Es werden langfristige Resultate dargestellt bei Anwendung von freien autogenen Fibulatransplantaten in der Behandlung von aggressiven Knochentumoren des distalen Radiusendes. Sechs Patienten unterzogen sich einer radikalen Entfernung des Tumores, einschließlich der Gelenkfläche des distalen Radius, in den Jahren 1969 bis 1978 bei einer durchschnittlichen Nachuntersuchungszeit von 5 Jahren. In einem Fall lag ein “low grade”-Chondrosarcoma vor, in drei anderen Fällen ein Riesenzellentumor gradus II–III und in den übrigen zwei Fällen ein Hämangiom. 5 bis 12 cm des distalen Radius wurden entfernt, und der Defekt wurde aufgefüllt durch Verwendung des ipsilateralen proximalen Teils der Fibula als freies Transplantat. Bei den Nachuntersuchungen bestand im radiokarpalen Gelenk eine normale oder nahezu normale Beweglichkeit. In allen Fällen hatten alle Patienten innerhalb von 6 Monaten nach der Operation ihre Arbeit wieder aufgenommen. Bei keinem der Patienten lag ein Tumorrezidiv vor.

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Copyright information

© J. F. Bergmann Verlag 1981

Authors and Affiliations

  • P. Salenius
    • 1
  • S. Santavirta
    • 1
  • O. Kiviluoto
    • 1
  • E. V. S. Koskinen
    • 1
  1. 1.Department of Orthopaedics and TraumatologyUniversity Central HospitalHelsinki 26Finland

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