This is a surgical technique report concerning the treatment of a 32-year-old male who had a giant cell tumor of distal ulna
with suspected metastatic disease to the lungs. Three curettage procedures and a Darrach procedure were performed at an outlying
facility. Upon the fourth reoccurrence, the patient was referred to our facility. It was established that the patient needed
a distal ulna en bloc resection. To accommodate his activity requirements, reconstruction of the sigmoid notch and distal
ulna was undertaken using a prosthesis. Soft tissue stabilization of the prosthesis was a challenge due to his previous procedures.
This was accomplished using a brachioradialis tendon wrap.
Keywords Brachioradialis - Distal ulna prosthesis - Giant cell tumor - Ulna - Sigmoid notch - Stability system
Dr. Amit Gupta is a consultant and stock owner of Small Bone Innovations. Dr. Amit Gupta and Dr. Peter Buecker are both staff
members affiliated with the University of Louisville. Dr. Charity Burke is a resident affiliated with the University of Louisville.
There was no institutional or corporate funding of this paper.