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Modified Sauve-Kapandji Procedure Using Iliac Bone Graft for Giant Cell Tumor of the Distal Ulna: Stabilizing With Two-Screw Fixation

A Case Report

Tsai, Ting-Chien MD1; Chen, Chien-Chin MD2,3; Huang, Hui-Kuang MD1,4,5,6; Wang, Jung-Pan MD, PhD4,5

doi: 10.2106/JBJS.CC.18.00299
Case Reports

Case: We describe a 33-year-old man who had a giant cell tumor in the ulnar head treated with wide resection and reconstructed using the modified Sauve-Kapandji procedure with an iliac crest bone graft as ulnar support.

Conclusions: Due to the destructive nature of the tumor and the important role played by the ulnar head in the distal radioulnar joint (DRUJ), treatment of the giant cell tumor in the distal ulna is a challenge. The modified Sauve-Kapandji procedure is an effective technique to restore DRUJ function, which is performed as an ulnar support arthroplasty. Using an iliac crest bone graft as ulnar support in reconstruction surgery could be a practical method after the ulnar head has been resected.

1Department of Orthopaedics, Chiayi Christian Hospital, Chiayi, Taiwan

2Department of Pathology, Ditmanson Medical Foundation Chia-Yi Christian Hospital, Chiayi, Taiwan

3Department of Cosmetic Science, Chia Nan University of Pharmacy and Science, Tainan, Taiwan

4Department of Orthopaedics and Traumatology, Taipei Veterans General Hospital, Taipei, Taiwan

5Department of Surgery, School of Medicine, National Yang-Ming University, Taipei, Taiwan

6Department of Food Nutrition, Chung Hwa University of Medical Technology, Tainan, Taiwan

E-mail address for H.-K. Huang:

Investigation performed at the Department of Orthopaedics, Chiayi Christian Hospital, Chiayi, Taiwan

Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (

Copyright © 2019 by The Journal of Bone and Joint Surgery, Incorporated
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