Published online Sep 18, 2017. doi: 10.5312/wjo.v8.i9.741
Peer-review started: January 29, 2017
First decision: May 11, 2017
Revised: May 18, 2017
Accepted: June 12, 2017
Article in press: June 13, 2017
Published online: September 18, 2017
Processing time: 232 Days and 6.4 Hours
Giant cell tumor (GCT) remains as major health problem. GCT which located at the lower end of the radius tends to be more aggressive. Wide excision and reconstruction of the wrist in stage 3 of distal radius GCT lesion is an optimal modality to prevent tumor recurrence. However, dislocation often occurs as its complication. We are reporting patient with GCT of distal radius treated with wide excision and reconstruction using nonvascularized fibular graft and the addition of hernia mesh. Circumferential non-absorbable polypropylene hernia mesh was applied, covered radioulnar joint and volar aspect of radius, and served as additional support to prevent dislocation. During five years and two months of follow-up, we found no dislocation in our patient. Furthermore, good functional outcome was obtained. Our finding suggests that the addition of hernia mesh after wide excision and reconstruction with nonvascularized fibular graft may benefit to prevent dislocation and provides an excellent functional outcome.
Core tip: Dislocation after wide excision and reconstruction with nonvascularized fibular graft on giant cell tumor (GCT) distal radius often occur and becomes a problem for the patient. This case report presented the outcome of a patient with GCT of distal radius and treated with wide excision and nonvascularized fibular graft with the addition of non-absorbable polypropylene hernia mesh. Circumferential non-absorbable polypropylene hernia mesh may prevent the occurrence of dislocation and provides an excellent functional outcome.