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Giant cell tumor - distal end radius: Do we know the answer?
Yogesh Panchwagh1, Ajay Puri, Manish Agarwal
1Bone and Soft Tissue Unit, Dept. of Surgical Oncology and Tata Memorial Hospital, Parel, Mumbai, India.
Indian Journal of Orthopaedics
|December 9, 2010
Summary
Giant cell tumors (GCTs) of the distal radius require careful management to minimize recurrence and preserve function. Curettage and reconstruction offer better functional outcomes compared to other surgical methods.
Area of Science:
- Orthopedic Oncology
- Musculoskeletal Tumors
- Surgical Management
Background:
- Distal radius giant cell tumors (GCTs) have a high recurrence rate.
- Effective management strategies are crucial for optimal patient outcomes.
Purpose of the Study:
- To evaluate management modalities for distal radius GCTs.
- To identify strategies for minimizing recurrence and maximizing function.
Main Methods:
- Retrospective review of 24 distal radius GCT patients (2000-2004).
- Analysis of treatment procedures including curettage, bone grafting, arthroplasty, and arthrodesis.
- Functional outcomes assessed using Musculoskeletal Tumor Society (MSTS) scoring.
Main Results:
- Recurrence rate was 32% among treated patients.
- Curettage and reconstruction yielded higher functional scores (82%) versus arthrodesis/arthroplasty (69%).
- Complications included local recurrence, nonunion, infection, deformity, stiffness, subluxation, and metastasis.
Conclusions:
- Curettage and reconstruction provide superior functional results for distal radius GCTs.
- Judicious treatment planning is essential for satisfactory outcomes despite potential complications.
