Limits...
Reconstruction of the Distal Radius following Tumour Resection Using an Osteoarticular Allograft.

Rabitsch K, Maurer-Ertl W, Pirker-Frühauf U, Lovse T, Windhager R, Leithner A - Sarcoma (2013)

Bottom Line: Two grafts developed nonunion, both successfully treated with autologous bone grafting.The mean Mayo wrist score was 84 and the mean DASH score was 8, both representing a good functional result.Therefore we state the notion that osteoarticular allograft reconstruction of distal radius provides good to excellent functional results.

View Article: PubMed Central - PubMed

Affiliation: Department of Orthopaedic Surgery, Medical University of Graz, Auenbruggerplatz 5, 8036 Graz, Austria.

ABSTRACT
Reconstruction of the distal radius following tumour resection is challenging and various techniques are recorded. We retrospectively analysed the outcome of five patients (one male and four females) after reconstruction of the distal radius with osteoarticular allograft, following tumour resection. Mean followup was 32 months (range, 4-121). In three of the five patients the dominant limb was affected. Mean bone resection length was 6.5 centimetres (range, 5-11.5). Two grafts developed nonunion, both successfully treated with autologous bone grafting. No infection, graft fracture, or failure occurred. Mean flexion/extension was 38/60 degrees and mean pronation/supination was 77/77 degrees. The mean Mayo wrist score was 84 and the mean DASH score was 8, both representing a good functional result. Therefore we state the notion that osteoarticular allograft reconstruction of distal radius provides good to excellent functional results.

No MeSH data available.


Related in: MedlinePlus

(a–g). Preoperative X-ray (a-b) and MRI (c-d) of a 64-year-old patient with osteosarcoma of the left distal radius; X-ray 22 months after replacement with allograft (e–g).
© Copyright Policy - open-access
Related In: Results  -  Collection


getmorefigures.php?uid=PMC3649715&req=5

fig1: (a–g). Preoperative X-ray (a-b) and MRI (c-d) of a 64-year-old patient with osteosarcoma of the left distal radius; X-ray 22 months after replacement with allograft (e–g).

Mentions: In recurrent or local aggressive cases of GCT as well as in malignant lesions, resection and subsequent reconstruction of the distal radius is indicated [2–4]. Reconstruction is challenging due to the high functional demands on the hand. Common reconstruction techniques include arthrodesis with different autografts [1, 5–9], prosthetic replacement [10–13], ulnar translocation [5, 14], arthroplasty using (vascularised [8, 15] or nonvascularised [5, 16–18]) autologous fibula graft, or osteoarticular allograft reconstructions (Figure 1) [5, 16, 17, 19–25].


Reconstruction of the Distal Radius following Tumour Resection Using an Osteoarticular Allograft.

Rabitsch K, Maurer-Ertl W, Pirker-Frühauf U, Lovse T, Windhager R, Leithner A - Sarcoma (2013)

(a–g). Preoperative X-ray (a-b) and MRI (c-d) of a 64-year-old patient with osteosarcoma of the left distal radius; X-ray 22 months after replacement with allograft (e–g).
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC3649715&req=5

fig1: (a–g). Preoperative X-ray (a-b) and MRI (c-d) of a 64-year-old patient with osteosarcoma of the left distal radius; X-ray 22 months after replacement with allograft (e–g).
Mentions: In recurrent or local aggressive cases of GCT as well as in malignant lesions, resection and subsequent reconstruction of the distal radius is indicated [2–4]. Reconstruction is challenging due to the high functional demands on the hand. Common reconstruction techniques include arthrodesis with different autografts [1, 5–9], prosthetic replacement [10–13], ulnar translocation [5, 14], arthroplasty using (vascularised [8, 15] or nonvascularised [5, 16–18]) autologous fibula graft, or osteoarticular allograft reconstructions (Figure 1) [5, 16, 17, 19–25].

Bottom Line: Two grafts developed nonunion, both successfully treated with autologous bone grafting.The mean Mayo wrist score was 84 and the mean DASH score was 8, both representing a good functional result.Therefore we state the notion that osteoarticular allograft reconstruction of distal radius provides good to excellent functional results.

View Article: PubMed Central - PubMed

Affiliation: Department of Orthopaedic Surgery, Medical University of Graz, Auenbruggerplatz 5, 8036 Graz, Austria.

ABSTRACT
Reconstruction of the distal radius following tumour resection is challenging and various techniques are recorded. We retrospectively analysed the outcome of five patients (one male and four females) after reconstruction of the distal radius with osteoarticular allograft, following tumour resection. Mean followup was 32 months (range, 4-121). In three of the five patients the dominant limb was affected. Mean bone resection length was 6.5 centimetres (range, 5-11.5). Two grafts developed nonunion, both successfully treated with autologous bone grafting. No infection, graft fracture, or failure occurred. Mean flexion/extension was 38/60 degrees and mean pronation/supination was 77/77 degrees. The mean Mayo wrist score was 84 and the mean DASH score was 8, both representing a good functional result. Therefore we state the notion that osteoarticular allograft reconstruction of distal radius provides good to excellent functional results.

No MeSH data available.


Related in: MedlinePlus