Gracia Isidre, Proubasta Ignacio R, Trullols Laura, Peiró Ana, Moya Esther, Cortés Sarah, Buezo Oscar, Majó Joan
Orthopaedic Department, Hospital Santa Cruz Y San Pablo, Barcelona, Spain.
Strategies Trauma Limb Reconstr. 2011 Aug;6(2):103-6. doi: 10.1007/s11751-011-0113-4. Epub 2011 Jul 20.
Giant cell tumor (GCT) of the distal end of the ulna is an uncommon site for primary bone tumors. When it occurs, en-bloc resection of the distal part of the ulna with or without reconstruction stabilization of the ulnar stump is the recommended treatment. We present a case of a 56-year-old man with a GCT of the distal ulna treated successfully with an en-bloc resection of the distal ulna with reconstruction using radioulnar joint prosthesis. Although the experience with this type of treatment is limited, implantation of a metallic prosthesis to replace the distal part of the ulna can also be considered as a salvage procedure for the treatment of this difficult pathology.
尺骨远端骨巨细胞瘤是原发性骨肿瘤中较为罕见的发病部位。一旦发病,推荐的治疗方法是对尺骨远端进行整块切除,可根据情况对尺骨残端进行或不进行重建固定。我们报告一例56岁男性尺骨远端骨巨细胞瘤患者,通过使用桡尺关节假体进行重建的尺骨远端整块切除手术成功治愈。尽管此类治疗经验有限,但植入金属假体替代尺骨远端也可被视为治疗这种疑难病症的一种补救方法。