Replacement of the distal radius after resection of primary bone tumors using nonvascularized proximal fibular graft

Abstract EN

Back ground and purpose : the distal radius and its articulations clearly have a vital role in the functional ability of the hand and the wrist.

The treatment of tumors of the radius, therefore, needs to achieve a satisfactory clearance of the lesions while also preserving as much wrist functions as possible.

Material and methods : the study included five patients with primary and recurrent giant cell tumors and one patient with malignant fibrous histiocytoma of the distal radius.

Those patients were subjected to resection of the distal radius and replacement with osteoarticular autogenously proximal fibular grafts.

The mean follow up period was 21 months.

Results : bone graft healing occurred at a mean of 6 months.

The mean postoperative wrist flexion was 18 degrees, extension was 24 degrees, pronation was 62 degrees and supination was 46 degrees.

Conclusion : resection of tumors of the distal radius followed by replacement with no vascularized proximal fibular graft is an effective way to manage these tumor's.