What the study found
The study describes a feasible combined reconstruction strategy after distal radius resection: a proximal fibular autograft was paired with distal oblique bundle reconstruction to help preserve distal radioulnar joint stability and forearm rotation. In the reported case, oncologic margins were negative and early functional recovery was documented.
Why the authors say this matters
The authors suggest this approach may help address a difficult problem in orthopedic oncology: rebuilding the distal radius after tumor resection while preserving distal forearm mechanics. They conclude that adding ligamentous stabilization to bone reconstruction may be useful in this setting.
What the researchers tested
This was a technical note illustrated by a representative clinical case. The team performed segmental en bloc resection of the distal radius, reconstructed the defect with an ipsilateral, nonvascularized proximal fibular autograft including the fibular head, and reconstructed the distal oblique bundle with an autologous palmaris longus tendon graft.
What worked and what didn't
Histopathology confirmed negative oncologic margins. At nine months, the Musculoskeletal Tumor Society score was 80%, and forearm rotation was preserved at 68.8% pronation and 81.3% supination of normal values. Early postoperative issues included donor-site common peroneal nerve dysfunction and radiocarpal instability that needed temporary Kirschner wire stabilization.
What to keep in mind
The report describes a single representative case, so the findings are limited in scope. The abstract also notes that broader validation will require larger clinical series and longer follow-up.
Key points
- A distal radius tumor resection was reconstructed using a proximal fibular autograft plus distal oblique bundle reconstruction.
- The reported case achieved negative oncologic margins.
- At nine months, the Musculoskeletal Tumor Society score was 80%.
- Forearm rotation was preserved at 68.8% pronation and 81.3% supination of normal values.
- Early complications included common peroneal nerve dysfunction at the donor site and radiocarpal instability requiring temporary Kirschner wire stabilization.
Disclosure
- Research title:
- Combined bone and ligament reconstruction preserved forearm mechanics after distal radius resection
- Authors:
- Awad Dmour, Bogdan Puha, George Enescu, Adrian-Claudiu Carp, Bianca-Ana Dmour, Ștefan-Dragoș Tîrnovanu, Dragoș-Cristian Popescu, Liliana Savin, Norin Forna, Tudor Pinteala, Bogdan Veliceasa, Paul-Dan Sîrbu
- Institutions:
- Grigore T. Popa University of Medicine and Pharmacy, Grigore T. Popa University of Medicine and Pharmacy, Grigore T. Popa University of Medicine and Pharmacy, Grigore T. Popa University of Medicine and Pharmacy, Grigore T. Popa University of Medicine and Pharmacy, Grigore T. Popa University of Medicine and Pharmacy, Grigore T. Popa University of Medicine and Pharmacy, Grigore T. Popa University of Medicine and Pharmacy, Grigore T. Popa University of Medicine and Pharmacy, Grigore T. Popa University of Medicine and Pharmacy, Grigore T. Popa University of Medicine and Pharmacy, Grigore T. Popa University of Medicine and Pharmacy
- Publication date:
- 2026-02-25
- DOI:
- 10.3390/life16030370
- OpenAlex record:
- View
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