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桡骨远端骨巨细胞瘤:广泛切除、尺骨移位及腕关节融合术

Giant Cell Tumor of the Distal Radius: Wide Resection, Ulna Translocation With Wrist Arthrodesis.

作者信息

Agrawal Alok C, Garg Ankit Kumar, Choudhary Ranjeet, Verma Shilp, Dash Rudra Narayan

机构信息

Orthopaedics, All India Institute of Medical Sciences (AIIMS) Raipur, Raipur, IND.

Orthopaedics, Ganga Medical Centre & Hospitals, Coimbatore, IND.

出版信息

Cureus. 2021 May 15;13(5):e15034. doi: 10.7759/cureus.15034.

Abstract

Giant cell tumor (GCT) of the bone is a locally aggressive neoplasm and usually managed with extended curettage and adjuvant therapy, which is associated with reduced risk of recurrence. The juxta-articular distal radius giant cell tumor is challenging due to the destruction of subchondral bone and articular cartilage, making it difficult to salvage the wrist joint anatomy and function. Various methods described include wide resection and reconstruction of allograft or centralization of the ulna with wrist arthrodesis. We present the functional outcome of distal end radius GCT, which was successfully managed with wide local excision, ulna translocation, and wrist arthrodesis. At the two years follow-up, the patient shows excellent functional outcome with supination and pronation movements and no local recurrence.

摘要

骨巨细胞瘤(GCT)是一种具有局部侵袭性的肿瘤,通常采用扩大刮除术和辅助治疗,这与降低复发风险相关。桡骨远端近关节处的巨细胞瘤具有挑战性,因为其会破坏软骨下骨和关节软骨,使得挽救腕关节的解剖结构和功能变得困难。所描述的各种方法包括广泛切除和同种异体骨重建或尺骨中心化并进行腕关节融合术。我们展示了桡骨远端GCT的功能结果,该病例通过广泛局部切除、尺骨移位和腕关节融合术成功得到治疗。在两年的随访中,患者在旋前和旋后运动方面显示出优异的功能结果,且无局部复发。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c0cd/8202813/dc7ec75bad05/cureus-0013-00000015034-i01.jpg

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