WITHDRAWN: Evaluation of autogenous fibular reconstruction after enbloc excision of a giant cell tumor from the distal radius: Minimum two years follow up

Abstract

Abstract Background A giant cell tumour is a benign neoplasm. The distal radius (10%) is the third most common site after distal femur and proximal tibia. It is usually associated with local aggressive behaviour and high recurrence rate. Multiple modalities are accepted for treatment of aggressive giant-cell tumour (GCT) of the distal radius. The purpose of our study was to investigate the autogenous fibular reconstruction after enbloc excision of a giant cell tumor from the distal radius. Method In this retrospective study ten cases of patients with GCT of the distal radius who have undergone en bloc resection and reconstruction with non-vascularised autologous proximal fibular graft of the ipsilateral side. Results The mean follow up duration in this study was 3.3 years. Eight patients (80%) achieved union while two patients had non-union. Two patients had non union for which iliac crest bone grafting was repeated at 9 and 12 months and graft ultimately united at 12 and 16 months respectively. One case got infection and there were two cases of wrist subluxation. Satisfactory range of movement was achieved in all patients. At last follow-up, the average combined range of motion was 101.5° Conclusion This procedure provides a valid treatment option in managing aggressive GCTs of the distal radius and provides good cosmetic and functional results.