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Use of a Prosthesis for the Distal Portion of the Radius Following Resection of a Recurrent Giant-Cell Tumor
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Orthopaedic Service, Hospital for Joint Diseases, New York
1957 by The Journal of Bone and Joint Surgery, Incorporated
J Bone Joint Surg Am, 1957 Dec 01;39(6):1374-1380
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A case of an aggressive giant-cell tumor of the distal end of the right radius in a young adult male was presented. Two recurrences of the tumor followed, each within a year after surgery; the first, after curettage and implantation of bone chips from the ilium; the second, after resection of the distal portion of the radius and replacement by grafting the proximal portion of the patient's right fibula. A third operation was performed to remove the recurrent tumor and the eroded fibular graft, and to insert an acrylic prosthesis as a substitute for the distal fourth of the radius. This was an alternative to amputation to which the patient objected. Heavy irradiation was given shortly after the surgery. A good functional result was obtained with a small range of motion at the wrist. The patient was able to do heavy work; however, the prosthesis fractured after two years. Fairly good function continued, and despite the fracture of the prosthesis, the result has remained satisfactory to date without recurrence of the tumor.

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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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