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Fracture Prosthesis in Giant Cell Tumor of Distal Radius: Precautions and Management

May 10, 2020

Original Article | Volume 6 | Issue 2 | JBST May-August 2020 | Page 5-8 | Mahesh Kulkarni, Sourab Shetty, Monappa Naik, Sandeep Vijayan. DOI: 10.13107/jbst.2020.v06i02.23 Author: Mahesh Kulkarni[1], Sourab Shetty[1], Monappa Naik[1], Sandeep Vijayan[1] [1]Department of Orthopaedics, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, Udupi, Karnataka, India. Address of Correspondence Dr. Sourab […]

Resection and Reconstruction of Calcaneal Tumors – A Review

May 10, 2020

Original Article | Volume 6 | Issue 2 | JBST May-August 2020 | Page 2-4 | Subbiah Shanmugam, Sujay Susikar, Murali Kannan. DOI: 10.13107/jbst.2020.v06i02.22 Author: Subbiah Shanmugam[1], Sujay Susikar[1], Murali Kannan[1] [1]Department of Surgical Oncology, Associate Professor, Centre for Oncology, Government Royapettah Hospital, Chennai, Tamil Nadu, India. Address of Correspondence Dr. Sujay Susikar, Department of […]

Fracture Prosthesis in Giant Cell Tumor of Distal Radius: Precautions and Management

May 10, 2020

Resection and Reconstruction of Calcaneal Tumors – A Review

May 10, 2020

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Fracture Prosthesis in Giant Cell Tumor of Distal Radius: Precautions and Management

May 10, 2020

Author: Mahesh Kulkarni[1], Sourab Shetty[1], Monappa Naik[1], Sandeep Vijayan[1]

[1]Department of Orthopaedics, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, Udupi, Karnataka, India.

Address of Correspondence
Dr. Sourab Shetty,
Department of Orthopaedics, Kasturba Medical College, Manipal Academy of Higher Education, Manipal – 576 104, Udupi, Karnataka, India.
E-mail: sourab.shetty.ss@gmail.com

Abstract

Introduction: Distal radius is one of the common locations for giant cell tumor (GCT) in the second to the fourth decade of life. Based on the extent of the tumor, various treatment options are available such as curettage and bone grafting or use of bone cement, various ablation techniques, excision, and vascularized or non-vascularized fibular graft. However, when subchondral bone and articular surface are involved and the patient is not ready for the fibular grafting, one of the methods described is excision and use of custom-made acrylic prosthesis, of which fracture prosthesis is a complication. Here, we are reporting a case who presented with a fractured prosthesis, the way we managed it and the precautions that can be taken while use of the prosthesis.
Case Report: We are presenting a case of a 42-year-old male who came back after 2 years of implantation with a fractured prosthesis, which happened during a routine activity. There was no evidence of recurrence of the tumor. A discussion about the cause, the management done, precautions to be taken while implanting acrylic prosthesis, and a follow-up of the patient for 3 years is also done.
Conclusion: Acrylic can be used as a cost-efficient material for a prosthesis in both primary excision and revisions in distal radius GCT with good functional results if specific precautions are taken preoperatively and intraoperatively.
Keywords: Acrylic prosthesis, broken prosthesis, fractured prosthesis, radius giant cell tumor.

Reference:
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How to Cite this article: Kulkarni M, Shetty S, Naik M, Vijayan S | Fracture Prosthesis in Giant Cell Tumor of Distal Radius: Precautions and Management | Journal of Bone and Soft Tissue Tumors | May-August 2020; 6(2): 5-8.

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Resection and Reconstruction of Calcaneal Tumors – A Review

May 10, 2020

Author: Subbiah Shanmugam[1], Sujay Susikar[1], Murali Kannan[1]

[1]Department of Surgical Oncology, Associate Professor, Centre for Oncology, Government Royapettah Hospital, Chennai, Tamil Nadu, India.

Address of Correspondence
Dr. Sujay Susikar,
Department of Oncology, Centre for Oncology, Government Royapettah Hospital, Chennai, Tamil Nadu, India.
E-mail: sujaysusikar@gmail.com

Abstract

Introduction: Calcaneum is a rare site for Ewing’s sarcoma. The treatment includes neoadjuvant systemic therapy followed by surgical resection and adjuvant systemic therapy. The reconstruction options in this era of limb salvage for bone tumors are not much established in calcaneal tumors in view of limited reporting. Various other reconstruction options available are allograft, iliac crest autograft, and custom-made prosthesis.
Case Report: We have reported a 13-year-old female patient with Ewing’s sarcoma of calcaneum diagnosed by imaging and biopsy. The patient underwent neoadjuvant chemotherapy and then had undergone total calcanectomy with allograft reconstruction. The post-operative outcomes are fair, and the patient is on adjuvant chemotherapy at present.
Conclusion: Biological reconstruction in the form of allograft is a reliable option with regard to the functional outcomes for calcaneal resections.
Keywords: Calcaneum, Ewing sarcoma, total calcanectomy, allograft.

Reference:
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10. Chou LB, Malawer MM. Osteosarcoma of the calcaneus treated with prosthetic replacement with twelve years of follow up: A case report. Foot Ankle Int 2007;28:841-4.

How to Cite this article: Shanmugam S, Susikar S, Kannan M | Resection and Reconstruction of Calcaneal Tumors – A Review | Journal of Bone and Soft Tissue Tumors | May-August 2020; 6(2): 2-4.

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Fracture Prosthesis in Giant Cell Tumor of Distal Radius: Precautions and Management

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Resection and Reconstruction of Calcaneal Tumors – A Review

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Fracture Prosthesis in Giant Cell Tumor of Distal Radius: Precautions and Management

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Resection and Reconstruction of Calcaneal Tumors – A Review

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