Giant Cell Tumour of the Distal Humerus Treated with Elbow Arthroplasty: A Case Report

Azad Sait S ； Manasseh Nithyanath ； Vinoo M Cherian

《International Journal of Case Reports and Images (IJCRI)》 3卷4期 (2012/04) Pp. 37-40

https://doi.org/10.5348/ijcri-2012-04-113-CR-10

並列摘要

Introduction: Giant cell tumour (GeT) of the distal humerus is very rare and the treatment depends on the grade of the tumour. Case Report: We present a 32-year-old lady with Grade III GCT of the left distal humerus treated with en bloc excision and custom made total elbow replacement. Her preoperative Mayo Elbow Performance Score was 30. At 56 months follow up, she is pain free with a Mayo Elbow Performance Score of 90 and no evidence of recurrence. Conclusion: Enneking's staging and Campanacci's radiographic grading helps in planning the treatment. When the lesion has violated a joint, en bloc excision followed by reconstruction or joint sacrifice is the treatment of choice. The options of reconstruction are auto or allografts, custom made endoprosthesis or allograft endoprosthetic composite. Reconstruction using autograft is seldom feasible in elbow. Allografts are met with high complication rates. Custom made total elbow arthroplasty is a good option especially for primary tumours of the elbow and can be done with good oncologic safety. Custom made total elbow arthroplasty is a good option for Campanacci Grade III GCT of the elbow. It provides excellent pain relief and good functional improvement with low complication rate.

並列關鍵字

Giant cell tumour ； Elbow tumour ； Elbow arthroplasty