{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T19:45:40Z","timestamp":1791402340557,"version":"4.3.3"},"reference-count":50,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2016,7,7]],"date-time":"2016-07-07T00:00:00Z","timestamp":1467849600000},"content-version":"vor","delay-in-days":67,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100006606","name":"Natural Science Foundation of Tianjin City","doi-asserted-by":"publisher","award":["12JCYBJCl6400"],"award-info":[{"award-number":["12JCYBJCl6400"]}],"id":[{"id":"10.13039\/501100006606","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Orthopaedic Surgery"],"published-print":{"date-parts":[[2016,5]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To evaluate the result of en bloc resection and reconstruction of the distal radius with a non\u2010vascularized fibular autograft for giant cell tumor (<jats:styled-content style=\"fixed-case\">GCT<\/jats:styled-content>) of bone.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Between 2005 and 2015, 12 eligible patients (seven males, five females, mean age 31.3\u2009years) with grade <jats:styled-content style=\"fixed-case\">III GCT<\/jats:styled-content> of the distal radius were treated by en bloc resection and reconstruction with non\u2010vascularized proximal fibular autografts in four <jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>hinese institutions (members of <jats:styled-content style=\"fixed-case\">G<\/jats:styled-content>iant <jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>ell <jats:styled-content style=\"fixed-case\">T<\/jats:styled-content>umor <jats:styled-content style=\"fixed-case\">T<\/jats:styled-content>eam of <jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>hina). The patients had a clinical and radiographic review every 6\u2009months for the first 2\u2009years then annually thereafter. The functional, oncologic and radiological outcomes of the patients were analyzed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The mean duration of follow\u2010up was 39.6\u2009months. Bony union was achieved in all cases. None of the patients were dissatisfied with the shape and appearance of the wrist. The mean <jats:styled-content style=\"fixed-case\">MSTS<\/jats:styled-content> score was 25.23\u2009\u00b1\u20092.38 (range, 22\u201329). The mean <jats:styled-content style=\"fixed-case\">DASH<\/jats:styled-content> score was 13.0 (range, 6.7\u201333.3). The average range of motion of the wrist was: 35.8\u00b0\u2009\u00b1\u200914.5\u00b0 of extension, 14.0\u00b0\u2009\u00b1\u20098.4\u00b0 of flexion, 15.5\u00b0\u2009\u00b1\u20096.7\u00b0 of radial deviation, 19.4\u00b0\u2009\u00b1\u200910.1\u00b0 of ulnar deviation, 57.2\u00b0 \u00b118.9\u00b0 of pronation and 44.0\u00b0\u2009\u00b1\u200924.8\u00b0 of supination. The average percentage of grip strength was 55.2%\u2009\u00b1\u200929.0% compared with that of the contralateral side. One localized soft tissue recurrence occurred; it was successfully managed by excision. Lung metastases developed postoperatively in one case and were treated by gamma knife radiotherapy. There was radiographic evidence of radiocarpal arthritis in eleven patients, bone resorption in ten, distal radioulnar joint diastasis in six, ulnar deviation of the wrist in seven, subluxation of the carpal bone in three and dislocation of the carpal bone in one patient.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Reconstruction with a non\u2010vascularized proximal fibular autograft is a reasonable option after en bloc resection of the distal radius for giant cell tumor of bone.<\/jats:p><\/jats:sec>","DOI":"10.1111\/os.12242","type":"journal-article","created":{"date-parts":[[2016,7,7]],"date-time":"2016-07-07T11:04:11Z","timestamp":1467889451000},"page":"196-204","source":"Crossref","is-referenced-by-count":22,"title":["Clinical and Radiographic Results of Reconstruction with Fibular Autograft for Distal Radius Giant Cell 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