Table 5.
Summary of the most important published studies on osteoarticular allograft of GCT in the distal radius
| Author (year) | Patients (n) | Follow-up (months) | Grip strength | Range of motion | Functional scores | Oncologic Results | Degenerative change | complications |
|---|---|---|---|---|---|---|---|---|
| Richard et al. [34](1977) | 3 | Mean 20.7 (range,6–33) | Mean 35% a |
Extension: mean 26.7° Flexion: mean 61.7° Pronation: mean 70° Supination: mean 71.7° |
NA. | continuous disease free | NA | Subluxation (1) |
| Cheng et al. [35](2001) | 4 | Mean 60 (range,36–96) | Mean 70.3% a | Mean 70% a | MSTS: excellent (3); good (1) | continuous disease free | OAc of the radiocarpal joint (2) |
Radioulnar diastasis (2); ulnar translation of carpus (2) |
| Bianchi et al. [12](2005) | 9 | Mean 57.3 (range,26–145) | NA |
Extension: mean 35.5° Flexion: mean 47.7° |
Functional outcome (%)a: mean 91.2 |
Local recurrence (3); lung metastasis (2) |
All developed radiographic narrowing |
Moderate pain during daily activities (1); ulnar subluxation (5) |
| Szabo et al. [19](2006) | 9 | Mean 100 (range,39–219) | Mean 77% a |
Extension: mean 52° Flexion: mean 50° Pronation: mean 80° Supination: mean 67° |
DASH: mean 15; SF-36: mean 72; Mayo: mean 73 |
continuous disease free | All developed radiographic narrowing |
Minor infection (1); fixation failure (1); flexor carpi radialis tendonitis (1); stress fracture of the allograft (1); ulnar synostoses (2) |
| Asavamongkolkul et al. [36](2009) | 8 | Mean 52.7 (range,40.5–90.9) | Mean 72.1% a | Mean 72.5% a | MSTS: mean 93% | Lung metastasis (1) | OAc of the radiocarpal joint (2) |
Nonunion (2); graft fracture (1); ulnar translation of carpus (1) |
| Duan et al. [13](2013) | 15 | Mean 62.4 (range,36–139) | Mean 27 hg |
Extension: mean 46.7° Flexion: mean 33.3° Pronation: mean 72.3° Supination: mean 61.3° |
SF-36: mean 71; Mayo: mean 70 |
Soft tissues recurrence (1) | All developed radiographic narrowing | No |
| Rabitsch et al. [33](2013) | 4 | Mean 32 (range,4–121) | Return to prior work |
Extension/flexion: mean 60°/38°; Pronation/supination: mean 77°/77° |
Mayo: mean 84; DASH: mean 8; |
continuous disease free | All patients but no pain | Nonunion (1) |
| Li et al. [37](2015) | 17 | Mean 84.7 (range,42–131) | Mean 63.7%a |
Extension+Flexion (%)a: mean 43.5 Pronation+Supination (%)a: mean 56.2 |
MSTS: mean 75% | Local recurrence (1) |
Severe (5); moderate (9); minor (3) |
Subluxation (3); nonunion (1); avulsion rupture of tendon (2); revised with another allograft (1); |
| Wysocki et al. [4](2015) | 4 | Mean 245 | Mean 69.4%a |
Extension: mean 40° Flexion: mean 67.5° Pronation: mean 75° Supination: mean 52.5° |
DASH: mean 20; MSTS: mean 87% |
continuous disease free | Grade II (2) arthrosisd | Nonunion (1) |
a% of contralateral side; NA, not applicable; costeoarthritis; dthe grading scale of Knirk and Jupiter