Autologous vascular proximal fibular graft in the treatment of giant cell tumor of the distal radius-a case report.

Autor: Todorova T; Department of Orthopedic Oncology, University Clinic for Orthopedic Surgery, 1000 Skopje, Republic of North Macedonia., Gramatnikovski N; University Clinic for Thoracic and Vascular Surgery, 1000 Skopje, Republic of North Macedonia., Angelovska T; Institute of Pathology, Faculty of Medicine, Ss, Cyril and Methodius University, 1000 Skopje, Republic of North Macedonia., Kostadinova-Kunovska S; Institute of Pathology, Faculty of Medicine, Ss, Cyril and Methodius University, 1000 Skopje, Republic of North Macedonia., Manevska N; Institute of Pathophysiology and Nuclear Medicine, Faculty of Medicine, Ss, Cyril and Methodius University, 1000 Skopje, Republic of North Macedonia., Foteva M; Department of Hand Surgery, University Clinic for Orthopedic Surgery, 1000 Skopje, Republic of North Macedonia., Samardziski M; Department of Orthopedic Oncology, University Clinic for Orthopedic Surgery, 1000 Skopje, Republic of North Macedonia.
Jazyk: angličtina
Zdroj: Journal of surgical case reports [J Surg Case Rep] 2024 Aug 08; Vol. 2024 (8), pp. rjae490. Date of Electronic Publication: 2024 Aug 08 (Print Publication: 2024).
DOI: 10.1093/jscr/rjae490
Abstrakt: Giant cell tumor of bone (GCTB) represents an intermediate, locally aggressive tumor, with a peak of incidence in the third decade of life with female predominance (2:1). The distal radius is the third most common localization and especially challenging in the treatment is saving the wrist joint function. In this report, we present a case of a 32-year-old patient diagnosed with a giant cell tumor of the distal radius, primarily treated with curettage of the bone. Due to aggressive tumor recurrence, considering local control of the tumor, we decided to perform a resection of the distal radius and reconstruction with an autologous proximal vascular fibular graft. We performed a SPECT/CT scan to confirm the functionality of the graft. We find this procedure a safe technique for local control of tumor recurrence and an ideal substitute for a limb salvage procedure.
Competing Interests: The authors declare no conflict of interest.
(Published by Oxford University Press and JSCR Publishing Ltd. © The Author(s) 2024.)
Databáze: MEDLINE
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