Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_

Poster
Topic: Tumours
Abstract number: 24256
IS THERE NEED FOR RECONSTRUCTION AFTER EXCISION OF DISTAL ULNA
FOR GCT?
Mandeep DHILLON, Sharad PRABHAKAR, Raghav SAINI
PGIMER, Chandigarh (INDIA)
Giant cell tumour rarely involves the distal ulna; the literature has sporadic cases
reported, and significant debate rages about the need for reconstruction after distal
ulnar resection. The uncommon presentation often leads to diagnostic delays, and
some of the cases reported have attained large sizes prior to diagnosis, leading to
procedures ranging from soft tissue stabilization to bone graft reconstruction of the
surgical defect. Materials: We analyzed 4 patients with Giant cell tumour of distal
ulna, with specific reference to the need for additional reconstruction; the radiological
and functional outcome of extra-periosteal distal ulna resection without reconstruction
was assessed at a mean follow up of 9 years post surgical excision.Observations:
We encountered no radiological evidence of recurrence, radio-ulnar convergence
and ulnar translocation of carpus in any case. Functional outcome was graded as
excellent in 3 and good in one patient. All patients could continue their profession,
with one being an ICU Nurse, being able to handle heavy patients.In conclusion, we
suggest that there is no need of additional reconstructive procedures after distal ulna
resection for GCT; an adequate functional outcome is seen, and patients have an
acceptable grip strength. Delayed presentation allows the tumour to grow to large
sizes; reconstructive procedures, which come at the cost of additional morbidity,
complications and technical skills, and are not routinely justified for this rare
condition.
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