CC BY-NC-ND 4.0 · Revista Iberoamericana de Cirugía de la Mano
DOI: 10.1055/s-0039-1698792
Case Report
Thieme Revinter Publicações Ltda Rio de Janeiro, Brazil

Tumor de células gigantes tratado con translocación cubital y artrodesis de muñeca tras fracaso de curetaje y cementación

Giant Cell Tumor of Distal Radius Treated with Ulnar Translocation and Wrist Arthrodesis after Failed Curettage and Cementation
1   Servicio de Cirugía Ortopédica y Traumatología, Hospital Universitario de Fuenlabrada, Fuenlabrada, Madrid, Spain
,
Patricia Merino
1   Servicio de Cirugía Ortopédica y Traumatología, Hospital Universitario de Fuenlabrada, Fuenlabrada, Madrid, Spain
› Author Affiliations
Further Information

Publication History

23 October 2018

03 September 2019

Publication Date:
31 October 2019 (online)

Resumen

El radio distal es la tercera localización en frecuencia para los tumores de células gigantes. El curetaje de la lesión más relleno de la misma con cemento, es una de las opciones de tratamiento. La cementación tras el curetaje puede tener complicaciones y obligar a la resección de la zona dañada. Presentamos el resultado de un caso, donde se hizo resección en bloque de la zona tumoral cementada más reconstrucción del área con translocación del cúbito y artrodesis de la muñeca. Es una técnica sencilla en la que se pierde movilidad, pero que consigue excelentes resultados clínicos y funcionales en mano y antebrazo.

Abstract

The distal radius is the third most common site for giant cell tumors. Curettage and filled of void with bone cement is one of the treatment options. Cementation after curettage can have complications and can require resection of the damaged area. We report the outcome of one case, where we did en bloc excision of cemented tumor with translocation of ulna and wrist arthrodesis.It is a simple technique in which some mobility is lost, but achieving excellent clinical and functional results.

 
  • BibliografíA

  • 1 Mavrogenis AF, Igoumenou VG, Megaloikonomos PD, Panagopoulos GN, Papagelopoulos PJ, Soucacos PN. Giant cell tumor of bone revisited. SICOT J 2017; 3 (54) 54
  • 2 Mozaffarian K, Modjallal M, Vosoughi AR. Treatment of giant cell tumor of distal radius with limited soft tissue invasion: Curettage and cementing versus wide excision. J Orthop Sci 2018; 23 (01) 174-179
  • 3 Vyas A, Patni P, Saini N, Sharma R, Arora V, Gupta SP. Retrospective analysis of giant cell tumor lower end radius treated with En bloc excision and translocation of ulna. Indian J Orthop 2018; 52 (01) 10-14
  • 4 Cao H, Lin F, Hu Y. , et al. Epidemiological and clinical features of primary giant cell tumors of de distal radium: a multicenter retrospective study in China. Sci Rep 2017; 7 (01) 9067
  • 5 Salunke AA, Shah J, Warikoo V. , et al. Giant cell tumor of distal radius treated with ulnar translocation and wrist arthrodesis: What are the functional outcomes?. J Orthop Surg (Hong Kong) 2017; 25 (01) 1-6
  • 6 Li D, Zhang J, Li Y. , et al. Surgery methods and soft tissue extension are the potential risk factors of local recurrence in giant cell tumor of bone. World J Surg Oncol 2016; 14: 114
  • 7 Abu-Zaid A, Alaqaili SI, Ahmad SO, Bin Hazzaa I, Alharbi H. Preoperative denosumab plus surgery in de management of giant cell tumor of bone: a comprehensive narrative literature review. Gulf J Oncolog 2019; 1 (30) 67-75
  • 8 Campanacci L, Sambri A, Medellin MR, Cimatti P, Errani C, Donati DM. A new computerized tomography classification to evaluate response to Denosumab in giant cell tumors in the extremities. Acta OrthopTraumatolTurc 2019; S1017-995X(18)30660-6
  • 9 Ghouchani A, Rouhi G. The great need of a biomechanical-based approach for surgical methods of giant cell tumor: a critical review. J Med Biol Eng 2017; 37 (04) 454-467
  • 10 Lv Y, Li A, Zhou F. , et al. A novel composite PMMA-bases bone cement with reduced potential for thermal necrosis. ACS Appl Mater Interfaces 2015; 7 (21) 11280-11285
  • 11 Sano K, Kimura K, Ozeki S. Vascularized iliac bone lining in downgraded treatment of Campanacci grade III giant cell tumor of the distal radius. J Hand Surg Asian Pac Vol 2018; 23 (02) 255-258
  • 12 Saikia KC, Borgohain M, Bhuyan SK, Goswami S, Bora A, Ahmed F. Resection-reconstruction arthroplasty for giant cell tumor of distal radius. Indian J Orthop 2010; 44 (03) 327-332
  • 13 Wolfe SW, Mih AD, Hotchkiss RN, Culp RW, Keifhaber TR, Nagle DJ. Wide excision of the distal ulna: a multicenter case study. J Hand Surg Am 1998; 23 (02) 222-228