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

Autori
Barbaric, Katarina ; Starcevic, Damir ; Smerdelj, Miroslav

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, prošireni sažetak, stručni

Izvornik
South East European Forum on Orthopaedics and Traumatology 2017., book of abstracts / - , 2017, 142-142

Skup
South East European Forum on Orthopaedics and Traumatology

Mjesto i datum
Dubrovnik, Hrvatska, 27.04.2017. - 29.04.2017

Vrsta sudjelovanja
Poster

Vrsta recenzije
Međunarodna recenzija

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

Sažetak
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.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

POVEZANOST RADA