Implant Reconstruction of the Forearm, Wrist and Hand: Distal Radius Endoprosthesis

Abstract

Distal radius is a relatively common site for primary malignant bone tumours, metastatic carcinomas and is the third most common site for giant cell tumour of bone (Natarajan, et al., Int Orthop 33(4):1081–4, 2009) En bloc resection of the distal radius is the most performed procedure for malignant and benign aggressive tumours involving the distal radius (Natarajan, et al., Int Orthop 33(4):1081–4, 2009; Lu, et al., Cancer Manag Res 10:265–77, 2018). Reconstructive options for filling up the residual defect vary depending on surgical expertise and economic factors. We share our experience of distal radius endoprosthesis (DR EPR) performed over the past 20 years for both primary malignant and benign bone tumours {Campanacci 3 or modified Henderson’s type 3–5 (a&b)} (Lu, et al., Cancer Manag Res 10:265–77, 2018; Henderson, et al., Bone Joint J 96-B(11):1436–40, 2014) and metastatic carcinomas involving the distal radius.