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Reconstruction of distal ulna and distal radiolunar joint after wide resection of giant cell tumor (CROSBI ID 718485)

Prilog sa skupa u zborniku | prošireni sažetak izlaganja sa skupa | međunarodna recenzija

Barbaric, Katarina ; Starcevic, Damir ; Smerdelj, Miroslav Reconstruction of distal ulna and distal radiolunar joint after wide resection of giant cell tumor // South East European Forum on Orthopaedics and Traumatology 2017., book of abstracts. 2017. str. 142-142

Podaci o odgovornosti

Barbaric, Katarina ; Starcevic, Damir ; Smerdelj, Miroslav

engleski

Reconstruction of distal ulna and distal radiolunar joint after wide resection of giant cell tumor

A - year old man presented in our Department with pain in the distal part of his right forearm after fall and X - ray images that showed expansive formation in the distal part of the right ulna Detailed history revealed that he had pain in his arm months earlier Computed tomography magnetic resonance and bone scan followed by biopsy were preformed in our Department Uncertain patohistological findings could not distinguish if it was GCT or tumor had an osteosarcomal component so we decided for two stage procedure First we performed en bloc resection of distal cm of ulna and temporary reconstruction with cement spacer Triquetrum and pisiforme bone were also excised because imaging methods showed their involvement with tumor After definitive pathohistological confirmation of GCT gradus I - II second stage reconstruction procedure was performed Distal part of ulna was reconstructed with free autologous fibular graft fixed with mm DC plate and screws Distal radioulnar joint ( DRUJ ) was reconstructed with palmaris longus tendon with modified Adams procedure In order to compensate triquetrum and pisiforme bone loss and stabilize the ulnar side of the wrist interposition arthroplasty using half of the extensor carpi ulnaris tendon was done Ten months postoperatively patient was feeling well had no pain and had satisfactory wrist range of motion Control X - rays showed adequate integration of fibular graft at the site of osteosynthesis with no signs of tumor recurrence DRUJ was stabile and pain free DASH score during one year follow up improved to compared to preoperatively GCT of the distal ulna is rare tumor classified as benign aggressive but carry a relatively high rate of recurrence Although difficult to manage anatomical reconstruction after resection around wrist joint especially in young active patients should be method of choice when ever is possible.

Giant Cell Tumour ; Ulna ; Resection ; Reconstruction ; Stability ; Distal Radioulnar Joint

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Podaci o prilogu

142-142.

2017.

objavljeno

Podaci o matičnoj publikaciji

South East European Forum on Orthopaedics and Traumatology 2017., book of abstracts

Podaci o skupu

South East European Forum on Orthopaedics and Traumatology

poster

27.04.2017-29.04.2017

Dubrovnik, Hrvatska

Povezanost rada

Kliničke medicinske znanosti