Several Considerations in Free Vascularized Fibular Head Grafting for Giant Cell Tumor of Distal Radius

Lee,  Jae Hoon; Chung,  Duke Whan; Han,  Chung Soo

doi:2013.18.4.189

Arch Hand Microsurg > Volume 18(4); 2013 > Article

Review

Journal of the Korean Society for Surgery of the Hand 2013;18(4):189-195.
Published online December 30, 2013.
DOI: https://doi.org/10.12790/jkssh.2013.18.4.189

Several Considerations in Free Vascularized Fibular Head Grafting for Giant Cell Tumor of Distal Radius

Jae Hoon Lee, Duke Whan Chung, Chung Soo Han

¹Department of Orthopaedic Surgery, Kyung Hee University Hospital at Gangdong, Kyung Hee University School of Medicine, Seoul, Korea. ljhos69@naver.com
²Department of Orthopaedic Surgery, Kyung Hee University Hospital, Kyung Hee University School of Medicine, Seoul, Korea.

Received: 23 November 2013 • Revised: 3 December 2013 • Accepted: 5 December 2013

Abstract

Treatment of giant cell tumor of distal radius can be treated in several ways according to the aggressiveness of the tumor. The management of giant cell tumor involving subchondral bone of the distal radius has always been a difficult problem and whether preserving joint function should be considered. In these circumstances, wrist arthroplasty using free vascularized fibular head grafting can be considered as one of available options to preserve the wrist joint motion. However, the reports for final outcomes of wrist arthroplasty using vascularized fibular head have been variable and there have been several debates about its techniques. The purpose of this article is to discuss the several considerations in wrist arthroplasty using free vascularized fubular head graft for giant cell tumors of the distal radius.