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Table 3 Literature review of case series (with a minimum of 5 patients) regarding the management of GCT of distal radius.

From: En bloc excision and autogenous fibular reconstruction for aggressive giant cell tumor of distal radius: a report of 12 cases and review of literature

Authors

No.

Type of procedure

Diagnosis

Method of fixation

Time for union (months)

Complications

Complication rate

Follow up (years)

Results

ROM

Grip Strength

Secondary procedure

Salenius et al [12]

6

Resection arthroplasty

Chondrosarcoma (1),

GCT(3),

Haemangioma(2)

Screws(3), Plate (3)

NA

None

0/6

5(2-12)

All good

< 20% decrease

Sufficient for manual work at 6 months

None

Murray et al [9]

18

Arthroplasty(3), Arthrodesis (15)

GCT

IM rod with screws(3), Plate (15)

2-11(4.1), 5-19 (8.6)(7.1)

Recurrence(5),

pulmonary metastasis(1),

NU(5),

graft fracture(3)

12/18

7.1(2- 24.2)

8 excellent, 8 good, 1 satisfactory

DF 40%(0-85), PF 30%(15-70), rest near normal

40%(2-70%)

12

Lackman et al [8]

12

Arthroplasty

GCT

Plate

NA

NU(2), Recurrence(1), graft fracture(3), Subluxation(1)

7/12

8(3-14)

6 excellent, 4 good, 2 fair

PF 21(5-45), DF 28(10-45), RD 8 (5-15), UD 16 (0-25), Pr 61(40-90), Su 27(15-65)

49%(24-88%)

4

Vander Griend et al [26]

8

Arthroplasty(2), Arthrodesis(6)

GCT

Plate

NA

subluxation(2), graft fracture(3), NU(2)

6/8

5.1(2-9)

 

NA

NA

5

Maruthainar et al [18]

13

Arthroplasty

GCT (10), Osteosarcoma (1), Chondrosarcoma (1), Ewing's sarcoma (1)

Plate+BG in majority

NA

subluxation(4), recurrent GCT (2)leading to amputation,

metastatic disease in Ewing's(1)

8/13

4.2 (2.2-7.5)

 

PF 16(5-30), DF 22(0-60), RD 11 (0-26), UD 14 (0-31), Pr 66(30-90), Su 52(0-90)

57%

3

Aithal et al [19]

30

Arthroplasty

GCT

Screws(3), Rush nail(1), Plate(26)

4-6.5(5.2)

Recurrence(10) leading to 4 amputations, NU(3), infection(1), subluxation(3)

14/30

8.5(1.5-25.5)

11 good, 7 fair, 2 poor(excluding recurrences)

> 65% in 7, 35-64% in 7, <34% in 3, fused wrist in 3

> 65% in 11, 35-64% in 7, <34% in 2

6

Asavamongkolkul et al [20]

7

Arthroplasty

GCT

Plate

5(4-7)

radiocarpal arthritis(2)

0/7

5.8(4.2-8)

6 excellent, 1 good

DF 45°, PF 38°, RD 20°, UD 28°, Su 80°, Pr 42° (73.7%)

69%

none

Bassiony et al [21]

10

Arthroplasty

GCT

Plate+BG

7(4-12)

NU(1),

graft resorbtion (1),

recurrence (1)

3/10

3.9(2.5-5)

NA

100.5(60-125)

NA

3

Saikia et al [27]

24

Arthroplasty

GCT

Plate+BG

6.7(6.5-7.25)

subluxation(10; 6 asymtomatic), recurrence(1), infection(1),

graft fracture(1), wrist arthrosis(2)

9/24

6.6(2-11)

6 excellent, 14 good, 4 fair

DF 50, PF 38, RD 12, UD 22, Su 52, Pr 46, (63%;52-78)

67%(58-74)

2

Chadha et al [16]

9

Arthroplasty

GCT

Plate

6

Recurrence(1), graft fracture(2), radial a. injury(1), subluxation(1), tourniquet plasy(1),

graft resorbtion (1)

5/9

4.7(3.2-5.75)

 

DF 40°, PF 30°, Su 45°, Pr 45°

50%

4

  1. (NU = non-union, DF = dorsiflexion, PF = palmer flexion, RD = radial deviation, UD = ulnar deviation, Pr = pronation, Su = supination)