Functional Outcome after Treatment of Aggressive Tumours in the Distal Radius: Comparison between Reconstruction using Proximal Fibular Graft and Wrist Fusion
Introduction: Restoration of a functional hand is the ultimate goal following a distal radius tumour resection. The early outcomes of mobile wrist reconstruction are satisfactory; however, long-term results are unpredictable due to late wrist instability and degenerative arthritis. Our aim is t...
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Malaysian Orthopaedic Association
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doaj-b864996b7284421f9749eff42ff7930f2021-05-02T06:42:38ZengMalaysian Orthopaedic AssociationMalaysian Orthopaedic Journal1985-25332232-111X2018-11-01123192310.5704/MOJ.1811.004Functional Outcome after Treatment of Aggressive Tumours in the Distal Radius: Comparison between Reconstruction using Proximal Fibular Graft and Wrist FusionChoo CY0Mat-Saad AM1Wan-Azman WS2Wan Z3Nor-Azman MZ4Yahaya S5Faisham WI6MMed OrthoMSur PlasticMSur PlasticMS OrthoMMed OrthoMMed OrthoMMed OrthoIntroduction: Restoration of a functional hand is the ultimate goal following a distal radius tumour resection. The early outcomes of mobile wrist reconstruction are satisfactory; however, long-term results are unpredictable due to late wrist instability and degenerative arthritis. Our aim is to compare mobile wrist reconstruction with wrist fusion (pan-carpal fusion) in our cohort of patients. Materials and Methods: A retrospective cohort study was performed for functional outcomes of all patients who underwent resection for distal radius tumour and treated with either fusion or reconstruction of the wrist in a single institution from years 2000-2013 with a minimum of three years follow-up. Results: Eleven patients were included in the study, six of whom had wrist reconstruction with proximal fibula graft and the remaining five wrist fusion, with a mean follow-up of 6.3 years. The mean Musculoskeletal Tumour Society (MSTS) score was 82.78%, ranging from 70% to 93.3%. Average grip strength compared to the normal contralateral hand was 60.0% for total wrist fusion, which was better than wrist reconstruction with 58.07%. There was no difference in the functional outcome between fusion and mobile reconstruction in our study. Osteoarthritis changes and subluxation of the wrist joint were the most common findings in the long-term follow-up for this group. Conclusion: There was no difference in the functional outcome of the long-term follow-up between the two groups.http://www.morthoj.org/2018/v12n3/distal-radius-tumours.pdfdistal radius tumourreconstructionfusionoutcome |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Choo CY Mat-Saad AM Wan-Azman WS Wan Z Nor-Azman MZ Yahaya S Faisham WI |
spellingShingle |
Choo CY Mat-Saad AM Wan-Azman WS Wan Z Nor-Azman MZ Yahaya S Faisham WI Functional Outcome after Treatment of Aggressive Tumours in the Distal Radius: Comparison between Reconstruction using Proximal Fibular Graft and Wrist Fusion Malaysian Orthopaedic Journal distal radius tumour reconstruction fusion outcome |
author_facet |
Choo CY Mat-Saad AM Wan-Azman WS Wan Z Nor-Azman MZ Yahaya S Faisham WI |
author_sort |
Choo CY |
title |
Functional Outcome after Treatment of Aggressive Tumours in the Distal Radius: Comparison between Reconstruction using Proximal Fibular Graft and Wrist Fusion |
title_short |
Functional Outcome after Treatment of Aggressive Tumours in the Distal Radius: Comparison between Reconstruction using Proximal Fibular Graft and Wrist Fusion |
title_full |
Functional Outcome after Treatment of Aggressive Tumours in the Distal Radius: Comparison between Reconstruction using Proximal Fibular Graft and Wrist Fusion |
title_fullStr |
Functional Outcome after Treatment of Aggressive Tumours in the Distal Radius: Comparison between Reconstruction using Proximal Fibular Graft and Wrist Fusion |
title_full_unstemmed |
Functional Outcome after Treatment of Aggressive Tumours in the Distal Radius: Comparison between Reconstruction using Proximal Fibular Graft and Wrist Fusion |
title_sort |
functional outcome after treatment of aggressive tumours in the distal radius: comparison between reconstruction using proximal fibular graft and wrist fusion |
publisher |
Malaysian Orthopaedic Association |
series |
Malaysian Orthopaedic Journal |
issn |
1985-2533 2232-111X |
publishDate |
2018-11-01 |
description |
Introduction: Restoration of a functional hand is the
ultimate goal following a distal radius tumour resection. The
early outcomes of mobile wrist reconstruction are
satisfactory; however, long-term results are unpredictable
due to late wrist instability and degenerative arthritis. Our
aim is to compare mobile wrist reconstruction with wrist
fusion (pan-carpal fusion) in our cohort of patients.
Materials and Methods: A retrospective cohort study was
performed for functional outcomes of all patients who
underwent resection for distal radius tumour and treated with
either fusion or reconstruction of the wrist in a single
institution from years 2000-2013 with a minimum of three
years follow-up.
Results: Eleven patients were included in the study, six of
whom had wrist reconstruction with proximal fibula graft
and the remaining five wrist fusion, with a mean follow-up
of 6.3 years. The mean Musculoskeletal Tumour Society
(MSTS) score was 82.78%, ranging from 70% to 93.3%.
Average grip strength compared to the normal contralateral
hand was 60.0% for total wrist fusion, which was better than
wrist reconstruction with 58.07%. There was no difference in
the functional outcome between fusion and mobile
reconstruction in our study. Osteoarthritis changes and
subluxation of the wrist joint were the most common
findings in the long-term follow-up for this group.
Conclusion: There was no difference in the functional
outcome of the long-term follow-up between the two groups. |
topic |
distal radius tumour reconstruction fusion outcome |
url |
http://www.morthoj.org/2018/v12n3/distal-radius-tumours.pdf |
work_keys_str_mv |
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