Distal radius resection and replacement with fibular graft in bone tumors: report of three cases with long-term follow-up and critical analysis of complications
DOI:
https://doi.org/10.2478/AMB-2025-0076Keywords:
distal radius, bone tumors, fibular graft, complicationsAbstract
The distal radius is a rare location for primary or metastatic bone tumors. Reconstruction of this bone after en bloc resection is a daunting challenge. Herein, we present three cases of distal radius resection due to bone tumors, with replacement of the resected bone using a fibular graft, and long-term follow-up. Moreover, we made a critical analysis of the reported complications after treatment. We hope this article and our comments will be helpful to surgeons who work in this area.
References
Georgiev GP, Slavchev S, Dimitrova I, Landzhov B. Giant cell tumor of bone: current review of morphological, clinical, radiological, and therapeutic characteristics. J Clin Exp Invest. 2014;5(3):475-85.
Jebson PJ, Sullivan L, Murray PM, Athanasian EA. Malignant fibrous histiocytoma of the distal radius: a case report. J Hand Surg Am. 2004; 29(2):194-200.
Agrawal AC, Garg AK, Choudhary R, et al. Giant Cell Tumor of the Distal Radius: Wide Resection, Ulna Translocation With Wrist Arthrodesis. Cureus. 2021; 13(5):e15034.
Georgiev GP, Stokov L. Giant cell tumor of bone. Bulg J Orthop Trauma, 2012; 49(1):34-39.
Chobpenthai T, Poosiripinyo T, Warakul C. Reconstruction After En Bloc Resection of a Distal Radius Tumor. An Updated and Concise Review. Orthop Res Rev. 2023; 15:151-164.
Humail SM, Ghulam MK, Zaidi IH. Reconstruction of the distal radius with non-vascularised fibular graft after resection of giant cell tumour of bone. J Orthop Surg (Hong Kong). 2014; 22(3):356-9.
Saikia KC, Borgohain M, Bhuyan SK, et al. Resection-reconstruction arthroplasty for giant cell tumor of distal radius. Indian J Orthop. 2010; 44(3):327-32.
Oliveira VC, van der Heijden L, van der Geest IC, et al. Giant cell tumours of the small bones of the hands and feet: Long-term results of 30 patients and a systematic literature review. Bone Joint J. 2013; 95-B:838–45.
Pazionis TJ, Alradwan H, Deheshi BM, et al. A Systematic review and meta-analysis of en-bloc vs intralesional resection for giant cell tumor of bone of the distal radius. Open Orthop J. 2013; 7:103-8.
Chadha M, Arora SS, Singh AP, et al. Autogenous nonvascularized fibula for treatment of giant cell tumor of distal end radius. Arch Orthop Trauma Surg. 2010; 130(12):1467–73.
Legname M, Barbary S, Dautel G. Distal radius reconstruction using a split vascularized fibula. Two cases following giant cell tumor resection. Orthop Traumatol Surg Res. 2011; 97(7):762–5.
Taraz-Jamshidi MH, Gharadaghi M, Mazloumi SM, et al. Clinical outcome of en-block resection and reconstruction with nonvascularized fibular autograft for the treatment of giant cell tumor of distal radius. J Res Med Sci. 2014;19(2):117–21.
Yang YF, Wang JW, Huang P, Xu ZH. Distal radius reconstruction with vascularized proximal fibular autograft after en bloc resection of recurrent giant cell tumor. BMC Musculoskelet Disord. 2016; 17(1):346.
Petrova K, Gaydarski L, Simeonov R, et al. Uncommon manifestations of lung cancer: diagnostic challenges and valuable insights from a rare clinical case. Cureus. 2024; 16(10):e71249.
Georgiev H, Matev B, Dimitrov N, Georgiev P. Osteoclastoma of metacarpal bones. Acta Med Bulg. 2011; 38(1):3-7.
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Copyright (c) 2025 G. P. Georgiev, S. Slavchev (Author)

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Journal Acta Medica Bulgarica