Surgical treatment options for patients with a tumor lesion of the distal radius
https://doi.org/10.17650/2219-4614-2025-17-1-59-66
Abstract
Primary malignant tumors of the bones are a rare oncological pathology. The risk of bone sarcoma development is higher in young people which underlies the social significance of treatment of this disease. The structure of the radiocarpal joint and deficit of soft tissues near this joint complicates achieving good functional results after surgery and causes high risk of postoperative complications.
In this article, the results of studies demonstrating different techniques of surgical treatment of patients with tumors of the radiocarpal joint are analyzed, their advantages and disadvantages described.
Keywords
tumor of the radius,
personalized endoprosthesis,
biological reconstruction of the radiocarpal joint
Supporting agencies: The article was prepared without external funding.
About the Authors
D. V. Tatarinov
P.A. Hertzen Moscow Oncology Research Institute – branch of the National Medical Research Radiological Centre, Ministry of Health of Russia
Russian Federation
Russian Federation
Dmitry Viktorovich Tatarinov
3 2nd Botkinsky Proezd, Moscow 125284
V. A. Derzhavin
P.A. Hertzen Moscow Oncology Research Institute – branch of the National Medical Research Radiological Centre, Ministry of Health of Russia
Russian Federation
Russian Federation
3 2nd Botkinsky Proezd, Moscow 125284
A. V. Bukharov
P.A. Hertzen Moscow Oncology Research Institute – branch of the National Medical Research Radiological Centre, Ministry of Health of Russia
Russian Federation
Russian Federation
3 2nd Botkinsky Proezd, Moscow 125284
A. D. Kaprin
National Medical Research Radiological Centre, Ministry of Health of Russia
Russian Federation
Russian Federation
3 2nd Botkinsky Proezd, Moscow 125284
References
1. Malignant neoplasms in Russia in 2022 (morbidity and mortality). Ed. by A.D. Kaprin, V.V. Starinsky, A.O. Shakhzadova, I.V. Lisichnikova. Moscow: MNIOI im. P.A. Gertsena – filial FGBU “NMITS radiologii” Minzdrava Rossii, 2023. 275 p. (In Russ.).
2. Yang Y.F., Wang J.W., Huang P., Xu Z.H. Distal radius reconstruction with vascularized proximal fibular autograft after en-bloc resection of recurrent giant cell tumor. BMC Musculoskeletal Disord 2016;17(1):346. DOI: 10.1186/s12891-016-1211-8
3. Karpenko V.Yu., Bukharov A.V., Kurilchik A.A. et al. Endoprosthesis in case of tumor lesion of the distal extremities. Zhurnal im. P.A. Gertsena = Journal named after P.A. Herzen 2017;6(5):31–6. (In Russ.). DOI: 10.17116/onkolog20176531-36
4. Mahoney R., Khan Z., Abudu A. et al. Outcomes of distal radial endoprostheses for tumour reconstruction: a single centre experience over 15 years. J Hand Surg Eur Vol 2022;47(11):1147–54. DOI: 10.1177/17531934221116469
5. Suzuki R., Tanaka H., Fujimoto Y. et al. Hemi-resection of carpal and extensor resection reconstructed with wrist joint arthrodesis and palmaris longus tendon graft for synovial sarcoma on the dorsal side of the wrist: a case report. J Hand Surg Glob Online 2023;5(2):258–62. DOI: 10.1016/j.jhsg.2023.01.006
6. Qi D.W., Wang P., Ye Z.M. et al. Clinical and radiographic results of reconstruction with fibular autograft for distal radius giant cell tumor. Orthop Surg 2016;8(2):196–204. DOI: 10.1111/os.12242
7. Houdek M.T., Walczak B.E., Wilke B.K. et al. What factors influence the outcome of surgically treated soft tissue sarcomas of the hand and rist? Hand (N Y) 2017;12(5):493–500. DOI: 10.1177/1558944716672197
8. Shehadeh A.M., Isleem U., Abdelal S. et al. Surgical technique and outcome of custom joint-sparing endoprosthesis as a reconstructive modality in juxta-articular bone sarcoma. J Oncol 2019;2019:9417284. DOI: 10.1155/2019/9417284
9. Salunke A.A., Shah J., Warikoo V. et al. Giant cell tumor of distal radius treated with ulnar translocation and wrist arthrodesis. J Orthop Surg (Hong Kong) 2017;25(1):2309499016684972. DOI: 10.1177/2309499016684972
10. Bassiony A.A. Giant Cell Tumour of the Distal Radius: Wide resection and reconstruction by non-vascularised proximal fibular autograft. Ann Acad Med Singap 2009;38(10):900–4. DOI: 10.47102/annals-acadmedsg.v38n10p900
11. Wang B., Wu Q., Liu J. et al. What are the functional results, complications, and outcomes of using a custom unipolar wrist hemiarthroplasty for treatment of grade III giant cell tumors of the distal radius? Clin Orthop Relat Res 2016;474(12):2583–90. DOI: 10.1007/s11999-016-4975-0
12. Alexandrov T.I., Simonova E.N., Lukinov V.L. Survival of unrelated ceramic wrist joint endoprostheses. Genij ortopedii = Genius of Orthopedics 2023;5:461–7. (In Russ.). DOI: 10.18019/1028-4427-2023-29-5-461-467
13. Wang T., Chan C.M., Yu F. et al. Does wrist arthrodesis with structural iliac crest bone graft after wide resection of distal radius giant cell tumor result in satisfactory function and local control? Clin Orthop Relat Res 2017;475(3):767–75. DOI: 10.1007/s11999-015-4678-y
14. Petrov V.G., Gafton G.I., Semiglazov V.V. et al. The effectiveness of endoprosthetics in malignant tumors of the extremities. Voprosy onkologii = Issues of Oncology 2012;58(6):727–35. (In Russ.).
15. Henderson E.R., O’Connor M.I., Ruggieri P. et al. Classification of failure of limb salvage after reconstructive surgery for bone tumours: a modified system including biological and expandable reconstructions. Bone Joint J 2014;96-B(11):1436–40. DOI: 10.1302/0301-620X.96B11
16. Lu M., Min L., Xiao C. et al. Uncemented three-dimensional-printed prosthetic replacement for giant cell tumor of distal radius: a new design of prosthesis and surgical techniques. Cancer Manag Res 2018;10:265–77. DOI: 10.2147/CMAR.S146434
17. Omori S., Hamada K., Outani H. et al. Intraoperative extracorporeal autogenous irradiated tendon grafts for functional limb salvage surgery of soft tissue sarcomas of the wrist and hand. World J Surg Oncol 2015;13:179. DOI: 10.1186/s12957-015-0588-4
18. Van Handel A.C., Galvez M.G., Brogan D.M. et al. Vascularized ulnar transposition and radioulnoscapholunate fusion with volar locking plate in a dorsal position following resection of giant cell tumor of the distal radius. Tech Hand Upper Extrem Surg 2020;24(3):142–50. DOI: 10.1097/BTH.0000000000000282
19. Gross C.E., Palanca A.A., DeOrio J.K. Design rationale for total ankle arthroplasty systems: an update. J Am Acad Orthop Surg 2018;26(10):353–9. DOI: 10.5435/JAAOS-D-16-00715
20. Duan H., Zhang B., Yang H.S. et al. Functional outcome of en bloc resection and osteoarticular allograft reconstruction with locking compression plate for giant cell tumor of the distal radius. J Orthop Sci 2013;18(4):599–604. DOI: 10.1007/s00776-013-0394-1
21. Szostakowski B., Staals E., Onwordi L. et al. Reconstruction with a custom made prosthetic wrist arthrodesis after bone tumor resections of the distal radius. Single Centre Experience. Rev Bras Ortop (Sao Paulo) 2021;2:224–9. DOI: 10.1055/s-0040-1721366
22. Zhu Z., Zhang C., Zhao S. et al. Partial wrist arthrodesis versus arthroplasty for distal radius giant cell tumours. Int Orthop 2013;37(11):2217–23. DOI: 10.1007/s00264-013-2040-0
23. Wang Y., Min L., Lu M. et al. The functional outcomes and complications of different reconstruction methods for giant cell tumor of the distal radius: comparison of osteoarticular allograft and three-dimensional-printed prosthesis. BMC Musculoskelet Disord 2020;21(1):69. DOI: 10.1186/s12891-020-3084-0
24. Natarajan M.V., Chandra Bose J., Viswanath J. et al. Custom prosthetic replacement for distal radial tumours. Int Orthop 2009;33(4):1081–4. DOI: 10.1007/s00264-009-0732-2
Review
For citations:
Tatarinov D.V., Derzhavin V.A., Bukharov A.V., Kaprin A.D. Surgical treatment options for patients with a tumor lesion of the distal radius. Bone and soft tissue sarcomas, tumors of the skin. 2025;17(1):59-66. (In Russ.) https://doi.org/10.17650/2219-4614-2025-17-1-59-66
Views:
736
Email this article 
