Table 3.
Literature review of case series (with a minimum of 5 patients) regarding the management of GCT of distal radius.
| Authors | No. | Type of procedure | Diagnosis | Method of fixation | Time for union (months) | Complications | Complication rate | Follow up (years) | Results | ROM | Grip Strength | Secondary procedure |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Salenius et al [12] | 6 | Resection arthroplasty | Chondrosarcoma (1), GCT(3), Haemangioma(2) |
Screws(3), Plate (3) | NA | None | 0/6 | 5(2-12) | All good | < 20% decrease | Sufficient for manual work at 6 months | None |
| Murray et al [9] | 18 | Arthroplasty(3), Arthrodesis (15) | GCT | IM rod with screws(3), Plate (15) | 2-11(4.1), 5-19 (8.6)(7.1) | Recurrence(5), pulmonary metastasis(1), NU(5), graft fracture(3) |
12/18 | 7.1(2- 24.2) | 8 excellent, 8 good, 1 satisfactory | DF 40%(0-85), PF 30%(15-70), rest near normal | 40%(2-70%) | 12 |
| Lackman et al [8] | 12 | Arthroplasty | GCT | Plate | NA | NU(2), Recurrence(1), graft fracture(3), Subluxation(1) | 7/12 | 8(3-14) | 6 excellent, 4 good, 2 fair | PF 21(5-45), DF 28(10-45), RD 8 (5-15), UD 16 (0-25), Pr 61(40-90), Su 27(15-65) | 49%(24-88%) | 4 |
| Vander Griend et al [26] | 8 | Arthroplasty(2), Arthrodesis(6) | GCT | Plate | NA | subluxation(2), graft fracture(3), NU(2) | 6/8 | 5.1(2-9) | NA | NA | 5 | |
| Maruthainar et al [18] | 13 | Arthroplasty | GCT (10), Osteosarcoma (1), Chondrosarcoma (1), Ewing's sarcoma (1) | Plate+BG in majority | NA | subluxation(4), recurrent GCT (2)leading to amputation, metastatic disease in Ewing's(1) |
8/13 | 4.2 (2.2-7.5) | PF 16(5-30), DF 22(0-60), RD 11 (0-26), UD 14 (0-31), Pr 66(30-90), Su 52(0-90) | 57% | 3 | |
| Aithal et al [19] | 30 | Arthroplasty | GCT | Screws(3), Rush nail(1), Plate(26) | 4-6.5(5.2) | Recurrence(10) leading to 4 amputations, NU(3), infection(1), subluxation(3) | 14/30 | 8.5(1.5-25.5) | 11 good, 7 fair, 2 poor(excluding recurrences) | > 65% in 7, 35-64% in 7, <34% in 3, fused wrist in 3 | > 65% in 11, 35-64% in 7, <34% in 2 | 6 |
| Asavamongkolkul et al [20] | 7 | Arthroplasty | GCT | Plate | 5(4-7) | radiocarpal arthritis(2) | 0/7 | 5.8(4.2-8) | 6 excellent, 1 good | DF 45°, PF 38°, RD 20°, UD 28°, Su 80°, Pr 42° (73.7%) | 69% | none |
| Bassiony et al [21] | 10 | Arthroplasty | GCT | Plate+BG | 7(4-12) | NU(1), graft resorbtion (1), recurrence (1) |
3/10 | 3.9(2.5-5) | NA | 100.5(60-125) | NA | 3 |
| Saikia et al [27] | 24 | Arthroplasty | GCT | Plate+BG | 6.7(6.5-7.25) | subluxation(10; 6 asymtomatic), recurrence(1), infection(1), graft fracture(1), wrist arthrosis(2) |
9/24 | 6.6(2-11) | 6 excellent, 14 good, 4 fair | DF 50, PF 38, RD 12, UD 22, Su 52, Pr 46, (63%;52-78) | 67%(58-74) | 2 |
| Chadha et al [16] | 9 | Arthroplasty | GCT | Plate | 6 | Recurrence(1), graft fracture(2), radial a. injury(1), subluxation(1), tourniquet plasy(1), graft resorbtion (1) |
5/9 | 4.7(3.2-5.75) | DF 40°, PF 30°, Su 45°, Pr 45° | 50% | 4 | |
(NU = non-union, DF = dorsiflexion, PF = palmer flexion, RD = radial deviation, UD = ulnar deviation, Pr = pronation, Su = supination)