WIDE RESECTION AND RECONSTRUCTION ARTHROPLASTY WITH IPSILATERAL NON-VASCULAR AUTOGENOUS FIBULAR GRAFT FOR GIANT CELL TUMOUR DISTAL RADIUS A CASE SERIES

ABSTRACTOBJECTIVE To analyse the functional outcome of wide resection and reconstruction arthroplasty using non-vascularised autogenous proximal fibular graft for (CAMPANACCI GRADE III ) giant cell tumour (GCT) distal radius.METHODS In our study 4 cases of GCT distal radius (M F,13) with age ranging from 17-24 years were treated between Jan 2010-July 2012. The mean follow-up was 12.2 months (range 8 to 26 months). Diagnosis was confirmed by open biopsy in our study. Among 4 cases, 3 cases were treated primarily by wide resection and reconstruction arthroplasty and 1 case by curettage with bone grafting and bone substitutes followed by resection and reconstruction arthroplasty after 5 months due to recurrence.RESULTS The mean age was 21.5 years. Side of the lesion was each 2 on right left side with female preponderance. All cases were evaluated monthly by radiological and clinical examination. The average duration of bone union was 18-24 months. Range of movement of the wrist and grip strength were analysed and compared with contralateral side. Except 1 case all cases went for union at graft-host junction. CONCLUSION Resection and reconstruction arthroplasty of distal radius with non-vascular autogenous transplant preserves the functional movement and stability. Our study showed satisfactory range of movements (67) and grip strength (75) with good functional results justify this procedure in case of GCT distal radius.