Chobpenthai Thanapon, Poosiripinyo Thanate, Warakul Chawin
Princess Srisavangavadhana College of Medicine, Chulabhorn Royal Academy, Bangkok, Thailand.
Department of Orthopaedics, Khon Kaen Hospital, Khon Kaen, Thailand.
Orthop Res Rev. 2023 Aug 8;15:151-164. doi: 10.2147/ORR.S416331. eCollection 2023.
The distal radius is rarely affected by either primary or metastatic bone cancers. The most frequent tumors of the distal radius are giant cell tumors, which are benign tumors with the propensity to invade. En bloc excision of giant cell tumors of the distal radius achieves a low recurrence rate but compromises the wrist joint, necessitates a significant reconstruction, and has functional consequences. Reconstruction after en bloc resection of a distal radius bone tumor is challenging. Furthermore, orthopedic oncologists disagree on treating such long bone anomalies most effectively. The present article summarizes the various biological and non-biological reconstruction techniques performed after en bloc resection of a distal radius tumor, discusses the advantages and disadvantages of each reconstruction strategy, and summarizes several case studies and case reports.
桡骨远端很少受到原发性或转移性骨癌的影响。桡骨远端最常见的肿瘤是骨巨细胞瘤，这是一种具有侵袭倾向的良性肿瘤。整块切除桡骨远端骨巨细胞瘤可实现较低的复发率，但会损害腕关节，需要进行重大重建，并且会产生功能后果。桡骨远端骨肿瘤整块切除后的重建具有挑战性。此外，骨科肿瘤学家在如何最有效地治疗此类长骨异常问题上存在分歧。本文总结了桡骨远端肿瘤整块切除后所采用的各种生物和非生物重建技术，讨论了每种重建策略的优缺点，并总结了几个病例研究和病例报告。
