Distal Ulnar Translocation with Partial Wrist Arthrodesis for Grade III Campanacci Giant Cell Tumors of the Distal Radius – A Case Series
Cases Series | Volume 7 | Issue 1 | JBST January – April 2021 | Page 12-15 | Sivakumar Raju, Prahalad Kumar Singhi, M. Chidambaram, V. Somashekar. DOI: 10.13107/jbst.2021.v0701.43
Author: Sivakumar Raju, Prahalad Kumar Singhi, M. Chidambaram, V. Somashekar
Department of Orthopaedic, Preethi Hospitals Pvt. Ltd., 50 Melur Main Road, Uthangudi, Madurai, Tamil Nadu, India.
Address of Correspondence
Dr. Prahalad Kumar Singhi,
Consultant Arthroscopy and Trauma Surgeon, Preethi Hospitals Pvt. Ltd., Madurai – 625 107, Tamil Nadu, India.
Introduction: Campanacci Grade III giant cell tumor of distal radius is an uncommon condition with limited treatments options and ulnar translocation is one.
Materials and Methods: We retrospectively analyzed five cases of Campanacci Grade III tumor in which three were recurrent cases, four female and one male all operated under regional anesthesia (supraclavicular brachial plexus block) with en bloc resection and reconstruction using ulnar translocation with fusion only with proximal carpal row from 2012 to 2018 at our institute. The mean length of tumor resected was 6.74 cm and average follow-up of 60 months. Average union time at radioulnar junction was 4–5 months and ulnocarpal joint was 3–4 months.
Results: Functional outcome was assessed using musculoskeletal tumor society scoring system, 80% had excellent and good outcome, and one patient had extensive recurrence and ended up in below-elbow amputation.
Conclusion: Ulnar translocation with partial wrist arthrodesis is a simple, valid, option with acceptable appearance of forearm, useful wrist function, no donor site morbidity nor need for a microvascular procedure, and no need to achieve complete wrist arthrodesis as compared to other options for reconstruction.
Keywords: Distal radius giant cell tumor, Campanacci Grade III tumor, modified ulnar translocation, partial wrist arthrodesis.
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|How to Cite this article: Raju S, Singhi PK, Chidambaram M, Somashekar V | Distal Ulnar Translocation with Partial Wrist Arthrodesis for Grade III Campanacci Giant Cell Tumors of the Distal Radius – A Case Series | Journal of Bone and Soft Tissue Tumors | Jan-Apr 2021; 7(1): 12-15.|