Vascularized Ulnar Transposition and Radioulnoscapholunate Fusion with Volar Locking Plate in a Dorsal Position following Resection of Giant Cell Tumor of the Distal Radius

Amelia C. Van Handel, Michael G. Galvez, David M. Brogan, Martin I. Boyer, Cara A. Cipriano, Angela C. Hirbe, Mitchell A. Pet

Research output: Contribution to journalArticlepeer-review

Abstract

Giant cell tumor of the distal radius is a rare, locally destructive, and frequently recurrent tumor. We present a case of Campanacci Grade III giant cell tumor of the distal radius with pathologic fracture and cortical destruction which was treated with neoadjuvant denosumab. This facilitated en-bloc resection of the entire distal radius, including the articular surface, while minimizing tumor contamination. Reconstruction was accomplished using a vascularized ulnar transposition flap to facilitate radioulnoscapholunate fusion, which was fixated using a long-stem contralateral variable angle locking volar distal radius plate in a dorsal position. This case illustrates multidisciplinary management of a challenging reconstructive problem and demonstrates a novel strategy for fixation which repurposes familiar and readily available hardware to provide optimal osteosynthesis.

Original languageEnglish
Pages (from-to)142-150
Number of pages9
JournalTechniques in Hand and Upper Extremity Surgery
Volume24
Issue number3
DOIs
StatePublished - 2020

Keywords

  • distal radius
  • giant cell tumor
  • ulnar transposition

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