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Giant cell tumour of proximal radius – A rare case report

Vol 35 | Issue 2 | May-Aug 2020 | page: 4-49 |  Rohit Nath¹, Deepti Gupta¹, Rajendra Nath¹, Vijay Shankar Sharma¹


Authors: Rohit Nath¹, Deepti Gupta¹, Rajendra Nath¹, Vijay Shankar Sharma¹

¹Department of Orthopaedics, GSVM Medical College & LLR Hospital, Kanpur, UttarPradesh, India.

Address of Correspondence:

Dr. Rohit Nath,
Department of Orthopaedics, GSVM Medical College & LLR Hospital, Kanpur, UttarPradesh, India.
E-mail: nath.ortho@gmail.com


Abstract:
The giant-cell tumour was recognized more than a hundred years ago by Sir Astley Cooper(1818). The most frequently affected segments are sequentially the distal femur, proximal tibia and the distal radius. But involvement of proximal radius is rare. Not more than ten cases in the world literature have been reported so far. We are reporting a case of histologically proved giant cell tumour of proximal radius which was treated operatively by wide resection of tumour and reconstruction of radio-humeral and superior radio-ulnar joint using proximal fibula as autograft with preservation of annular ligament and elbow and superior radio ulnar joint movements. This form of treatment has not been reported in the literature so far. The case is therefore being reported for its rare site and innovative method of treatment.

Keywords:  Giant cell tumour, proximal radius, fibular grafting


References

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How to Cite this Article: Nath R, Gupta D, Nath R, Sharma VS | Giant cell tumour of proximal radius – A rare case report | Journal of Bone and Joint Diseases | May-Aug 2020; 35(2): 47-49.


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Comparative study between hybrid fixation and dual plating in the management of both bone forearm fractures involving proximal half of radial shaft in adult patients

Vol 35 | Issue 2 | May-Aug 2020 | page: 19-24 | Arvind Kumar¹, Rizwan Khan¹, Dushyant Chouhan², Rajesh Arora¹, Sandeep Kumar¹, Javed Jameel¹


Authors: Arvind Kumar¹, Rizwan Khan¹, Dushyant Chouhan², Rajesh Arora¹, Sandeep Kumar¹, Javed Jameel¹

¹Department of Orthopedics, Hamdard Institute of Medical Sciences and Research,
New Delhi, India.
²Department of Orthopedics, Lady Hardinge Medical College, New Delhi, India

Address of Correspondence:
Dr. Javed Jameel,
Hamdard Institute of Medical Sciences and Research, New Delhi, India
E-mail: javedjameel@gmail.com


Abstract
Background: Both bone forearm fractures in adults are conventionally managed with plate fixation for both radius and ulna. The fractures involving proximal half of radial shaft need extensive muscle dissection, periosteal stripping and carry a risk of posterior interosseous nerve injury. Hybrid fixation for such fractures with titanium elastic nail system (TENs) for radial fixation and standard plating for ulnar fracture is a potentially safer alternative for these fractures. The purpose of this study is to compare the outcomes of the aforementioned hybrid fixation to conventional dual plating for adult both bone forearm fractures involving proximal half of the radial shaft.
Methods: Adult patients with both bone forearm fractures involving proximal half of the radial shaft were randomly divided into a hybrid fixation(A) and dual plating(B) groups over a two-year period. The patients were followed for a minimum of six months and radiological and functional outcomes were compared.
Results: Radiological and functional outcomes between the two groups were comparable with the exception of wrist dorsiflexion which was significantly reduced in the hybrid fixation group. The surgical duration was significantly shorter in hybrid fixation group. Loss of reduction and nail entry point pain were major complications in the hybrid fixation group. Hypertrophic radial scar and transient posterior interosseous nerve palsy were major complications in the dual plating group.
Conclusion: Hybrid fixation using plate osteosynthesis for ulnar fracture and TENs for radial fracture is a valid option for treatment of adult both bone forearm fractures involving the proximal half of radial shaft with a shorter surgical duration and less soft tissue complications when compared to open reduction and plate osteosynthesis for both the fractures.
Keywords: Adult; forearm, Fractures, Hybrid fixation, Proximal radius


References

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How to Cite this Article:  Kumar A, Khan R, Chouhan D, Arora R, Kumar S, Jameel J | Comparative study between hybrid fixation and dual plating in the management of both bone forearm fractures involving proximal half of radial shaft in adult patients. | Journal of Bone and Joint Diseases | May-Aug 2020;35(2):19-24.


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