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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)