[Free microvascular fibula graft for skeletal reconstruction of the distal radius: 5 years follow-up after en-bloc resection of a giant cell tumour].

A giant cell tumour of the distal radius or of the carpal bones, verified by incisional biopsies, should be approached as a low-grade malignancy. Lesions that arise in the bones of the hand or the wrist have a greater propensity to metastasise, and have a higher risk of local recurrence. In this case report we describe a 54-year-old women with a giant cell tumour of the distal radius (Campanacci grade III lesion), having a follow-up of five years without signs of local recurrence or metastatic disease. The general principles of and options for surgical treatment are discussed.

[1]  N. Harness,et al.  Giant-cell tumor of the distal forearm. , 2004, The Journal of hand surgery.

[2]  C. Heitmann,et al.  Fibulo-Scapho-Lunate Arthrodesis as a Motion-Preserving Procedure after Tumour Resection of the Distal Radius , 2002, Journal of hand surgery.

[3]  A. Minami,et al.  Vascularized Fibular Graft after Excision of Giant‐Cell Tumor of the Distal Radius: Wrist Arthroplasty versus Partial Wrist Arthrodesis , 2002, Plastic and reconstructive surgery.

[4]  R. O'Donnell,et al.  Recurrence of giant-cell tumors of the long bones after curettage and packing with cement. , 1994, The Journal of bone and joint surgery. American volume.

[5]  R. V. Vander Griend,et al.  The treatment of giant-cell tumors of the distal part of the radius. , 1993, The Journal of bone and joint surgery. American volume.

[6]  F. Bertoni,et al.  Giant-cell tumor of bone with pulmonary metastases. Six case reports and a review of the literature. , 1988, Clinical orthopaedics and related research.

[7]  F. Sim,et al.  Fibular reconstruction for giant cell tumor of the distal radius. , 1987, Clinical orthopaedics and related research.

[8]  B. Schlafly,et al.  Giant-cell tumors in the distal end of the radius. Treatment by resection and fibular autograft interpositional arthrodesis. , 1986, The Journal of bone and joint surgery. American volume.

[9]  D. Dahlin,et al.  Giant‐cell tumor: A study of 195 cases , 1970, Cancer.

[10]  H. Yoshida,et al.  Giant cell tumor of bone , 2004, Virchows Archiv A.

[11]  P. Amadio,et al.  Giant cell tumors of the bones of the hand. , 1997, The Journal of hand surgery.

[12]  P. Leung,et al.  Giant cell tumor of the distal end of the radius treated by the resection and free vascularized iliac crest graft. , 1986, Clinical orthopaedics and related research.

[13]  P. A. Jacobs,et al.  The closed cryosurgical treatment of giant cell tumor. , 1985, Clinical orthopaedics and related research.