A, Anteroposterior radiograph of 56-year-old woman with giant cell tumor of distal radius. B, MR image shows extent of tumor and soft-tissue mass. C, Distal radius approached dorsally. D, Tumor was resected. E, Resected specimen. F, Proximal fibular autograft fashioned to fit defect. G, Wrist fusion with contoured 3.5-mm plate extending from radial diaphysis to third metacarpal. SEE TECHNIQUE 24.8.