ABSTRACT
Thirty giant cell tumors of the distal radius were excised and reconstructed using a nonvascular fibular osteoarticular autograft. Four different surgical techniques for stabilization were used. There were ten recurrences, which could not be correlated with Campanacci's radiological or Jaffe's histological grading. Twenty cases without recurrence were followed up over 1.5-25.5 (average 8.5) years. Average time for incorporation of the graft was 5.2 months. The surgical technique using a radiofibular plate and K wire through the wrist had a low nonunion rate, no graft related complications, good range of movement, and good hand functions.
Subject(s)
Bone Neoplasms/surgery , Giant Cell Tumor of Bone/surgery , Neoplasm Recurrence, Local , Orthopedic Procedures/methods , Radius/surgery , Adult , Bone Transplantation/methods , Female , Fibula/transplantation , Humans , Male , Middle Aged , Treatment OutcomeABSTRACT
We describe and discuss two patients with osteochondromas of the first rib which presented as prominence of the medial end of the clavicle.