Hindawi Publishing Corporation Sarcoma Volume 2013, Article ID 318767, 6 pages http://dx.doi.org/10.1155/2013/318767 Research Article Reconstruction of the Distal Radius following Tumour Resection Using an Osteoarticular Allograft Katharina Rabitsch, 1 Werner Maurer-Ertl, 1 Ulrike Pirker-Frühauf, 1 Thomas Lovse, 1 Reinhard Windhager, 2 and Andreas Leithner 1 1 Department of Orthopaedic Surgery, Medical University of Graz, Auenbruggerplatz 5, 8036 Graz, Austria 2 Department of Orthopaedics, Vienna General Hospital, Medical University of Vienna, Waehringer Guertel 18-20, 1090 Vienna, Austria Correspondence should be addressed to Ulrike Pirker-Fr¨ uhauf; ulrike.pirker-fruehauf@medunigraz.at Received 7 January 2013; Accepted 12 March 2013 Academic Editor: Per-Ulf Tunn Copyright © 2013 Katharina Rabitsch et al. his is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Reconstruction of the distal radius following tumour resection is challenging and various techniques are recorded. We retrospectively analysed the outcome of ive patients (one male and four females) ater reconstruction of the distal radius with osteoarticular allograt, following tumour resection. Mean followup was 32 months (range, 4–121). In three of the ive patients the dominant limb was afected. Mean bone resection length was 6.5 centimetres (range, 5–11.5). Two grats developed nonunion, both successfully treated with autologous bone grating. No infection, grat fracture, or failure occurred. Mean lexion/extension was 38/60 degrees and mean pronation/supination was 77/77 degrees. he mean Mayo wrist score was 84 and the mean DASH score was 8, both representing a good functional result. herefore we state the notion that osteoarticular allograt reconstruction of distal radius provides good to excellent functional results. 1. Introduction Although the distal radius is an untypical location for primary bone malignancies, about 10 percent of all giant cell tumour (GCT) afects this part of the skeleton. It represents the third most common location ater the distal part of the femur and the proximal part of the tibia [1–4]. In recurrent or local aggressive cases of GCT as well as in malignant lesions, resection and subsequent reconstruction of the distal radius is indicated [2–4]. Reconstruction is challenging due to the high functional demands on the hand. Common reconstruction techniques include arthrodesis with diferent autograts [1, 5–9], prosthetic replacement [10–13], ulnar translocation [5, 14], arthroplasty using (vascularised [8, 15] or nonvascularised [5, 16–18]) autologous ibula grat, or osteoarticular allograt reconstructions (Figure 1)[5, 16, 17, 19–25]. Functional outcome as well as durability is of high importance, as afected patients are generally young with high functional demand due to their long life expectancy. herefore, we reviewed our experience in osteoarticular allo- grats to assess durability, complication rates, and functional outcome of this reconstruction method. 2. Material and Methods We started with searching our database for patients who received an osteoarticular allograt for reconstruction of the distal radius ater tumour resection and determined age at operation, followup, resection length, complications, and revision procedures from those patients’ records. General operation procedure included irst, preparation and resection of the tumour including osteotomy in respect of compart- mental structures. Second, preparation of the allograt and ixation of the plate on the allograt is required before; third, the plate-allograt unit is implanted and ixated to the host radius. Finally the capsule, ligaments, and eventually resected tendons are reconstructed by end to end anastomoses of the relevant anatomical structures of allograt and host.