Reconstruction with a free vascularized fibular head graft after en bloc excision of a Campanacci grade 3 giant cell tumor of bone in the distal radius can
effectively control local recurrence. However, it leads to the loss of wrist movement,
subsequent radiocarpal subluxation, and an osteoarthritic change. Another treatment
option for grade 3 lesions is intralesional excision and cementation, which preserves
wrist movement but does not restore the articular surface. We report a case of wrist
reconstruction using a free vascularized fibular head graft after the intralesional
excision of a Campanacci grade 3 giant cell tumor of bone with invasion of the articular
surface of the distal radius. In patients with this type of a lesion, wrist reconstruction
using a free vascularized fibular head graft after intralesional excision can help
prevent local tumor recurrence, restore the articular surface, and maintain movements
of the wrist joint.
Key words
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Article info
Publication history
Published online: December 08, 2021
Accepted:
September 30,
2021
Received:
October 22,
2020
Footnotes
No benefits in any form have been received or will be received related directly or indirectly to the subject of this article.
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© 2022 by the American Society for Surgery of the Hand. All rights reserved.
