Salvamento de extremidad en tumor de células gigantes de radio distal con aloinjerto osteocondral, reporte de 2 casos

Andres Galeano , Carlos Alberto Sanchez , Francisco Castro , Pablo Arbeláez
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Abstract

Case

Two patients with giant cell tumor (GCT) Campanacci III of the distal radius were treated with en bloc resection and reconstruction with distal radius osteochondral allograft. Results of both procedures are presented, exposing complications of the first case related to radiocarpal subluxation and none in the second case. Both cases exhibit adequate functionality.

Conclusion

GCT Campanacci III in the distal radius represents a surgical challenge for limb preservation considering local invasion and high risk of recurrence. The en bloc resection and reconstruction with allograft technique, despite its variable functional results, achieves satisfactory results as it achieves low recurrence rates and allows limb preservation.

病例2例桡骨远端Campanacci III型巨细胞瘤(GCT)患者行桡骨远端骨软骨移植整块切除重建。这两种手术的结果都显示了第一例桡腕半脱位的并发症,而第二例则没有。这两种情况都表现出足够的功能。结论ct对桡骨远端Campanacci III的检查表明,考虑到局部侵犯和高复发风险,手术对肢体保留提出了挑战。同种异体移植整体切除和重建技术,尽管其功能结果多变,但由于复发率低且保留肢体,效果令人满意。
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