Function after Wrist Arthrodesis with Non-Vascularized Fibular Graft in Distal Radius Giant Cell Tumor: Case Series

Giant cell tumor (GCT) of bone, the most common benign locally aggressive bone tumor, accounts for 4% to 5% all primary neoplasms and 20% tumors. The distal radius is third commonest site involvement in about 10% GCT cases. Due high recurrence rate after curettage more progressed lesions, surgeons prefer en bloc resection followed by reconstruction. Cases: Three Campanacci III cases underwent wrist arthrodesis with non-vascularized fibular graft. mean follow-up period was nine months (6-12 months). Patients were evaluated Disabilities Arm, Shoulder, Hand (DASH) Score. Results: Union had been achieved 2 patients, implant removal done. One patient needs cancellous grafting removal—no sign one year. DASH score showed moderate disability. Conclusion: Autogenous graft reconstruction can be considered a reasonable option GCT.
 Cell Tumor adalah tulang jinak yang paling sering dijumpai, bersifat agresif secara lokal, merupakan 4-5% dari seluruh neoplasma primer dan jinak. Radius lokasi terbanyak ketiga, mencakup kasus GCT. Mengingat tingginya rekurensi setelah prosedur kuretase, lebih disukai reseksi diikuti rekonstruksi. Kasus: Tiga pasien pada (Campanacci III) menjalani disertai pergelangan tangan. Follow-up rata-rata selama 9 bulan (range 6-12 bulan). Pasien dinilai menggunakan skor (DASH). Hasil: tercapai pasien, implan telah dicabut. Satu membutuhkan tulanag pencabutan implan. Tidak didapatkan periode satu tahun. Skor menunjukkan disabilitas sedang ketiga pasien. Simpulan: Prosedur rekonstruksi nonvascularized baik dilakukan distal.