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The Results of Single Bone Forearm Procedure for Malignant Proximal Radius Tumors
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Original Article
VOLUME: 53 ISSUE: 2
P: 225-230
2020

The Results of Single Bone Forearm Procedure for Malignant Proximal Radius Tumors

Acta Haematol Oncol Turc 2020;53(2):225-230
DOI: 10.5505/aot.2020.32032
Abdullah Merter 1
Mustafa Onur Karaca 1
Kerem Başarır 1
Yusuf Yıldız 1
1. Department Of Orthopaedics And Traumatology, School Of Medicine, Ankara University, Ankara, Turkey
2.
No information available.
No information available
Received Date: 2019-12-30T15:47:04
Accepted Date: 2020-09-04T10:06:35
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Abstract

INTRODUCTION

Despite several surgical techniques introduced for the treatment of malignant tumors of proximal radius, the most appropriate treatment remains to be undiscovered. The aim of the study is to analyze the results of patients who underwent proximal radius resection and reconstruction with the single bone forearm procedure in malignant tumors involving the proximal radius with large muscle and soft tissue.

METHODS

Between 2008 and 2014, 9 patients with malignant tumors involving the proximal radius were treated by en bloc resection and reconstruction with the single bone forearm procedure. Patients were followed for 49.1(46-52) months. VAS (Visual Analog Scale), Quality of Life (SF-30), modified musculoskeletal tumor society (MSTS) scoring system, range of motion (ROM) and grip strength compared to contralateral side were measured. Also, time of union, need for further operations and recurrence of the tumor were evaluated.

RESULTS

The mean ranges of the ROM of extremity at the follow up of sixth month was 70°(60°-75°), wrist extension, 90° (70°-95°) palmar flexion, 25° (15°-35°) radial deviation, 25º (15°-29°) ulnar deviation, 0º supination, and 0º pronation. VAS and SF-30 were improved dramatically. The mean modified MSTS score was 72.77(63-82)%. Death from lung metastasis occurred in one patient. Recurrence did not occur. Three patients who had been given neoadjuvant radiotherapy underwent pseudoarthrosis surgery.

DISCUSSION AND CONCLUSION

Single bone forearm technique after proximal radius resection is a good alternative procedure in proximal radius malignant tumors with advanced soft tissue involvement.