Akademik Veri Yönetim Sistemi
Hand and Microsurgery, cilt.12, sa.1, ss.23-29, 2023 (Hakemli Dergi)
Objectives: Reconstruction of the wrist after resection of distal forearm tumours involving the joint may often be difficult for surgeons. The aim of this study was to examine the clinical results of 5 patients on whom total wrist arthrodesis was performed with vascularised fibula graft (VFG) after tumour resection in the distal radius. Methods: A retrospective examination was made of five patients (four males, one female) applied with wrist arthrodesis with VFG. The patients were evaluated in respect of defect amount after resection, the length of VFG used, time to bone healing, postoperative complications, reconstruction procedures, and forearm rotation. The postoperative clinical evalua- tion of the patients was made according to the Musculoskeletal Tumour Society (MSTS) score. Results: The resected distal radius segment of the patients was mean 7.05 cm and the mean VFG length was 8.19 cm. The diagnoses were malignant mesenchymal tumour in two patients, osteosarcoma, giant cell tumour, and chondrosarco- ma in the other three patients. Osseofasciocutaneous VFG was harvested in four patients and only osseous VFG in one patient. Bone healing was observed radiologically in mean 4.6 months (range, 4-6 months) in all the patients. The mean MSTS score at the final follow-up examination was 84%. Conclusion: When there is a bone defect involving the wrist joint, wrist arthrodesis applied with VFG is a useful and relia- ble reconstructive option that provides satisfactory results.