Reconstruction of the Distal Radius After Resection of an Aggressive Giant Cell Tumor

Document Type : EDITORIAL

Authors

1 Bone and Joint Reconstruction Research Center, Department of Orthopedics, School of Medicine, Iran University of Medical Sciences, Tehran, Iran

2 Department of Orthopedic Surgery, University of Minnesota, Minneapolis, Minnesota, USA

10.22038/abjs.2025.90071.4085

Abstract

Giant cell tumor (GCT) of the distal radius presents unique surgical challenges because of its aggressive nature and anatomical complexity. While en-bloc resection is often required, reconstructing the resulting defect remains a debated topic. Among various options, ulnar translocation combined with wrist arthrodesis provides a biologic and structurally stable solution with minimal donor site complications. Recent advances, such as limited arthrodesis, T-shaped locking plates, and preservation of the triangular fibrocartilage and distal ulnar remnant, have enhanced outcomes. These improvements have made ulnar translocation a more function-preserving and cosmetically acceptable method for treating aggressive distal radius GCT.

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