Table 1.
Results after large reconstruction of bony defects in the wrist.
| Localization of the Defect | Pathogenesis | Follow-Up | Age | Defect Lentgh | Graft Type | Reconstruction Concept | Pre-operative ROM Extension/Flexion Pronation/Supination |
Post-Operative ROM Extension/Flexion Pronation/Supination |
Grip Strength | Quality of Life | Bone Consolidation | ||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| GROUP 1 | Case 1 | Distal radius, parts of the proximal wrist | Trauma | 6 month | 32 | 9 cm | Vascularized fibula | Wrist arthrodesis |
N/A
N/A |
0-0-0°
40-0-50° |
60% |
MMWS = 50
DASH = 24 |
yes |
| GROUP 2 | Case 2 | Complete wrist, distal radius and proximal metacarpals | Osteomyelitis | 47 month | 64 | >5 cm | Vascularized iliac crest | Wrist arthrodesis |
N/A
N/A |
0-0-0°
50-0-35° |
50% | (N/A) | partial |
| Case 3 | Complete wrist, distal radius and proximal metacarpals | Benign, aggressive bone tumor | 53 | 41 | 8 cm | Vascularized osteocutaneous triangular fibula | Wrist arthrodesis |
N/A
N/A |
0-0-0°
80-0-40° |
70% |
MMWS = 45
DASH = 30 |
yes | |
| GROUP 3 | Case 4 | Distal radius involving the radiocarpal surface | Giant cell tumor | 14 | 41 | 8 cm | Vascularized fibula | Wrist arthroplasty |
60-0-50°
N/A |
30-0-40°
80-0-70° |
65% |
MMWS = 70
DASH = 17 |
yes |
| GROUP 4 | Case 5 | Distal radius involving the radiocarpal surface | Sarcoma, secondary osteoblastoma | 61 | 20 | 9 | Vascularized fibula | RFSL-Fusion |
N/A
N/A |
25-0-30
50-0-60 |
70% |
MMWS = 65
DASH = 24 |
yes |
| Case 6 | Distal radius involving the radiocarpal surface | Giant cell tumor | 72 | 45 | 6 | Vascularized fibula | RFSL-Fusion |
60-0-60
70-0-70 |
30-0-30
70-0-50 |
80% | (N/A) | yes | |
| Case 7 | Distal radius involving the radiocarpal surface | Giant cell tumor | 25 | 38 | 8 | Vascularized fibula | RFSL-Fusion |
50-0-50
90-0-50 |
40-0-0
80-0-70 |
80% | (N/A) | yes | |
| Case 8 | Distal radius involving the radiocarpal surface | Giant cell tumor | 6 | 40 | 7.5 | Vascularized fibula | RFSL-Fusion |
70-0-70
80-0-80 |
30-0-10
50-0-50 |
60% | (N/A) | yes |