The outcome of resection of the distal ulna for tumour without soft-tissue or prosthetic reconstruction

• Published in: Journal of bone and joint surgery. British volume Vol. 96-B; no. 10; pp. 1392 - 1395
• Main Authors: Dhinsa, B S, Gregory, J J, Nawabi, D H, Nawabi, D, Khan, S, Pollock, R, Aston, W J, Skinner, J A, Briggs, T W R
• Format: Journal Article
• Language: English
• Published: England 01.10.2014
• Subjects: Adult; Aged; Biopsy; Bone Neoplasms - diagnosis; Bone Neoplasms - surgery; Female; Follow-Up Studies; Humans; Male; Middle Aged; Orthopedic Procedures - methods; Prostheses and Implants; Radiography; Reconstructive Surgical Procedures; Retrospective Studies; Sarcoma - diagnosis; Sarcoma - surgery; Time Factors; Treatment Outcome; Ulna - diagnostic imaging; Ulna - pathology; Ulna - surgery; Young Adult; Reconstruction; Ulnar; Resection; Tumour; Sarcoma; Fibromatosis
• ISSN: 2049-4394; 0301-620X; 2049-4408
• DOI: 10.1302/0301-620X.96B10.33664

In patients with a tumour affecting the distal ulna it is difficult to preserve the function of the wrist following extensive local resection. We report the outcome of 12 patients (nine female, three male) who underwent excision of the distal ulna without local soft-tissue reconstruction. In six patients, an aggressive benign tumour was present and six had a malignant tumour. At a mean follow-up of 64 months (15 to 132) the mean Musculoskeletal Tumour score was 64% (40% to 93%) and the mean DASH score was 35 (10 to 80). The radiological appearances were satisfactory in most patients. Local recurrence occurred in one patient with benign disease and two with malignant disease. The functional outcome was thus satisfactory at a mean follow-up in excess of five years, with a relatively low rate of complications. The authors conclude that complex reconstructive soft-tissue procedures may not be needed in these patients.