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Wheeless' Textbook of Orthopaedics

Giant-cell tumors in the distal end of the radius. Treatment by


resection and fibular autograft interpositional arthrodesis. Murray-JA; Schlafly-B J-Bone-Joint-Surg-Am. 1986 Jun; 68(5): 687-94 Eighteen giant-cell tumors in the distal end of the radius were treated by block resection and arthrodesis of the wrist utilizing a fibular autograft. The mean length of follow-up was 7.1 years. Local recurrence occurred in five patients, and one patient died of pulmonary metastases. In five patients, non-union developed between the graft and the radius. Three patients sustained a fracture of the graft. No patient had a pseudarthrosis. The average grip strength was 40 per cent of that of the unaffected hand. Pain was absent or slight. No patient required an amputation.



Original Text by Clifford R. Wheeless, III, MD.