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Ho CL, Lee IY, Hsu HY, Kuo LC, Fang JJ. Metacarpophalangeal joint reconstruction using a costal osteochondral graft: A case report. Medicine (Baltimore) 2024; 103:e37868. [PMID: 38640291 PMCID: PMC11029923 DOI: 10.1097/md.0000000000037868] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/10/2023] [Revised: 03/05/2024] [Accepted: 03/21/2024] [Indexed: 04/21/2024] Open
Abstract
RATIONALE The conventional treatment of giant cell tumors is intralesional curettage with local adjuvant therapy. Because hand tumors have a high local recurrence, the primary goal for treating tumors of the hand is to eradicate the lesion. PATIENT CONCERNS To preserve the metacarpophalangeal (MCP) joint function as well as avoid further recurrence after surgery. DIAGNOSES The giant cell tumor invades the patient's MCP joint in an index proximal phalanx. INTERVENTIONS Using computer-aided design and three-dimensional printing techniques, we reformed the original shapes of the MCP joint and its peripheral bone to replica models. The surgeon then performed an en bloc resection and proximal phalanx with MCP joint reconstruction by fabricating the patient's costal osteochondral graft during the operation. OUTCOMES After 6 months of rehabilitation, the patient's finger functions could pinch and grasp objects naturally. At the 1-year follow-up, the range of motion of the MCP, proximal interphalangeal, and distal interphalangeal joints improved from flexion of 35° to 60°, 75° to 85°, and 60° to 80°, respectively. The hand function achieved the mean performance of non-preferred hands for young females at the postoperative 3-year follow-up. LESSONS The customized prototyping technique has the potential to replica the original patient's bony graft to reach the goal of minimizing the defects at the donor site and maximizing the function of the reconstructed MCP joint.
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Affiliation(s)
- Chien-Liang Ho
- Division of Plastic and Reconstructive Surgery, Department of Surgery, National Cheng Kung University, Tainan, Taiwan
| | - I-Ying Lee
- Division of Plastic and Reconstructive Surgery, Department of Surgery, National Cheng Kung University, Tainan, Taiwan
| | - Hsiu-Yun Hsu
- Department of Occupational Therapy, College of Medicine, National Cheng Kung University, Tainan, Taiwan
- Department of Physical Medicine and Rehabilitation, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan
| | - Li-Chieh Kuo
- Department of Occupational Therapy, College of Medicine, National Cheng Kung University, Tainan, Taiwan
- Medical Device Innovation Center, National Cheng Kung University, Tainan, Taiwan
| | - Jing-Jing Fang
- Department of Mechanical Engineering, National Cheng Kung University, Tainan, Taiwan
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Driscoll CR, Davidson AL, Schuth O, Reynolds M. Fibular Allograft Osteoplasty and Silicone Arthroplasty following Gunshot Injury of the Metacarpal. PLASTIC AND RECONSTRUCTIVE SURGERY-GLOBAL OPEN 2023; 11:e5369. [PMID: 37928638 PMCID: PMC10624454 DOI: 10.1097/gox.0000000000005369] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/21/2023] [Accepted: 09/14/2023] [Indexed: 11/07/2023]
Abstract
The complexity of a gunshot wound to the hand with segmental bone loss and adjacent joint disruption presents a unique challenge for the reconstructive surgeon. There are several options for posttraumatic reconstruction of hand joint defects, ranging from arthrodesis, implants, and autologous arthroplasty. Despite the abundance of literature regarding guidelines for isolated osteoplasty and arthroplasty, there are only case reports describing management of bone and joint defects, all within the setting of cancer resection. This case report presents a 24-year-old, right-hand dominant man with a gunshot wound to his left hand involving the fifth metacarpal and metacarpal phalangeal joint. The metacarpal was reconstructed with a fibular bone allograft with simultaneous placement of a silicone arthroplasty implant, allowing preservation of motion at the metacarpal phalangeal joint with satisfactory functional outcomes. This illustrates the feasibility of successfully reconstructing segmental bone loss and adjacent joint defects simultaneously in the traumatic setting of firearm injuries.
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Affiliation(s)
- Cassandra R. Driscoll
- From the Department of Plastic and Reconstructive Surgery, Wake Forest University, Winston-Salem, N.C
| | - Amelia L. Davidson
- From the Department of Plastic and Reconstructive Surgery, Wake Forest University, Winston-Salem, N.C
| | - Olga Schuth
- Division of Plastic and Reconstructive Surgery, Virginia Commonwealth University, Richmond, Va
| | - Michael Reynolds
- From the Department of Plastic and Reconstructive Surgery, Wake Forest University, Winston-Salem, N.C
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Ebeid WA, Badr IT, Mesregah MK, Hasan BZ. Outcome of Surgical Resection of Primary Malignant and Aggressive Benign Metacarpal Bone Tumors. Orthopedics 2021; 44:e633-e638. [PMID: 34590957 DOI: 10.3928/01477447-20210817-02] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
Abstract
Primary bone tumors of the hand are relatively rare. Different treatment options have been described in case reports. In this study, the authors present the diagnostic methods and treatment strategies that they used. The goal of this study is to present the oncologic and functional outcomes of surgical resection of primary malignant and aggressive benign metacarpal bone tumors. This retrospective study included 7 patients with primary malignant and aggressive benign bone tumors of the metacarpals who underwent surgical resection with or without metacarpal reconstruction between 2000 and 2017, with a minimum follow-up of 2 years. Clinical and radiologic evaluations were reviewed, and functional evaluation was performed with the Musculoskeletal Tumor Society scoring system. Seven patients (6 female; 1 male), with a mean age of 30.9±11.3 years, were included in the study. Six tumors were de novo, whereas 1 was recurrent. After resection, 5 patients had metacarpal reconstruction. Nonvascularized fibula was used for 3 patients, extracorporeal freezing of the metacarpal using liquid nitrogen was used for 1 patient, and metacarpal shift was used for 1 patient. Mean follow-up was 52.6±26.7 months. At the final follow-up, mean Musculoskeletal Tumor Society score was 27.4±1.6, and no local recurrence was documented. One patient had chest metastasis after 8 years of follow-up. The results show that surgical resection of primary malignant and aggressive benign tumors of the metacarpal bones can achieve satisfactory functional and oncologic outcomes. [Orthopedics. 2021;44(5):e633-e638.].
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Agrawal AC, Verma S, Kar B, Sakale H, Choudhary R. Mammoth Giant Cell Tumor of the First Metacarpal: A Case Report and Management Trends. Cureus 2021; 13:e16150. [PMID: 34354887 PMCID: PMC8328844 DOI: 10.7759/cureus.16150] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/03/2021] [Indexed: 11/06/2022] Open
Abstract
Giant cell tumor (GCT) is classically described as a locally aggressive, epiphyseo-metaphyseal osteolytic tumor occurring in young adults. They are mostly seen in long bones while some are also found in the iliac bone and spine and a very small proportion occurs in hand bones. Due to the rarity of GCT in metacarpal, there is a paucity of treatment options available. In an extensive literature search on PubMed, Embase, Medline, and Ovid from 2004 till date, very few cases were reported. The various treatment options available are intralesional curettage with or without adjuvant therapy, wide resection, free osteoarticular metatarsal transfer, and, occasionally, ray amputation may also be done. After simple curettage, a reasonably high recurrence rate also imposes comprehensive en-bloc excision, but still, there are many case reports of recurrence. Experience with a case of GCT of the whole first metacarpal extending from the carpometacarpal to the metacarpophalangeal joint is not thoroughly described in the literature. We hereby report a mammoth GCT of the first metacarpal treated by excision and reconstruction by free fibular graft and adjacent joint fusion with an excellent functional outcome at one-year follow-up.
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Affiliation(s)
- Alok C Agrawal
- Orthopedics, All India Institute of Medical Sciences, Raipur, IND
| | - Shilp Verma
- Orthopedics, All India Institute of Medical Sciences, Raipur, IND
| | - Bikram Kar
- Orthopedics, All India Institute of Medical Sciences, Raipur, IND
| | - Harshal Sakale
- Orthopedics, All India Institute of Medical Sciences, Raipur, IND
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Pomares G, Jager T. Emergency metacarpophalangeal arthroplasty with bone grafting for traumatic joint destruction: a report on two cases. HAND SURGERY & REHABILITATION 2020; 40:104-108. [PMID: 33309791 DOI: 10.1016/j.hansur.2020.07.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/27/2020] [Revised: 07/07/2020] [Accepted: 07/07/2020] [Indexed: 11/29/2022]
Abstract
Traumatic destruction of the metacarpophalangeal joints with bone defect is a technical challenge for surgeons when maintaining joint mobility is a priority for the patient. An emergency metacarpophalangeal arthroplasty with bone graft has been described in the literature for dorsal defects in the proximal phalanx. We have adapted this technique to allow us to perform this arthroplasty with bone graft in all defects of the proximal phalanx.
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Affiliation(s)
- G Pomares
- Institut Européen de la Main - Luxembourg, Hôpital Kirchberg, 9, rue Edward Steichen, L2540 Luxembourg, Luxembourg.
| | - T Jager
- Institut Européen de la Main - Luxembourg, Hôpital Kirchberg, 9, rue Edward Steichen, L2540 Luxembourg, Luxembourg
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Zaidenberg EE, Farias Cisneros E, Miller R, Zaidenberg CR. Metacarpal Aneurysmal Bone Cyst En Bloc Resection Reconstructed With Osteoarticular Allograft. J Hand Surg Am 2019; 44:425.e1-425.e5. [PMID: 30017650 DOI: 10.1016/j.jhsa.2018.06.003] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/01/2018] [Revised: 04/18/2018] [Accepted: 06/05/2018] [Indexed: 02/02/2023]
Abstract
Aneurysmal bone cysts are large lytic lesions that appear most often around metaphyseal bone. The lesions are locally aggressive with high recurrence rates. Therefore, wide resection is commonly necessary, leading to challenging reconstruction of the defect, especially when the articular surface is involved. We present a case of an aneurysmal bone cyst of the fourth metacarpal, treated with an en bloc resection and reconstruction with a metacarpal osteoarticular allograft. At 8 years after surgery, the patient has shown no signs of recurrence, but radiographic articular reabsorption was noted. However, the patient showed an excellent outcome with a satisfactory active range of motion and grip strength. Despite potential complications, osteoarticular allograft is a feasible alternative when autologous osteoarticular reconstruction is not an option.
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Affiliation(s)
- Ezequiel Ernesto Zaidenberg
- Department of Orthopaedics, Italian Hospital of Buenos Aires, University of Buenos Aires, Buenos Aires, Argentina; Kleinert-Kutz Institute for Hand and Microsurgery, Louisville, KY.
| | - Efrain Farias Cisneros
- Department of Orthopaedics, Italian Hospital of Buenos Aires, University of Buenos Aires, Buenos Aires, Argentina
| | - Ryan Miller
- Department of Orthopaedics, Italian Hospital of Buenos Aires, University of Buenos Aires, Buenos Aires, Argentina
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Pomares G, Calafat V, Montoya-Faivre D, Dap F, Dautel G. Emergency metacarpophalangeal arthroplasty with bone grafting for traumatic joint destruction. Orthop Traumatol Surg Res 2017; 103:1105-1108. [PMID: 28790000 DOI: 10.1016/j.otsr.2017.07.007] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/19/2016] [Revised: 06/14/2017] [Accepted: 07/10/2017] [Indexed: 02/02/2023]
Abstract
Emergency arthroplasty of the metacarpophalangeal joint (MCPJ) remains a valuable treatment option in patients with MCPJ destruction but may raise challenges in the event of substantial metacarpal and/or phalangeal bone defects. We report three cases of MCPJ destruction with bone defects at the proximal first phalanx treated with emergency silicone implant arthroplasty combined with bone grafting.
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Affiliation(s)
- G Pomares
- Service de chirurgie plastique et reconstructrice de l'appareil locomoteur, centre chirurgical Émile-Galle, CHU de Nancy, 49, rue Hermite, 54000 Nancy, France.
| | - V Calafat
- Service de chirurgie plastique et reconstructrice de l'appareil locomoteur, centre chirurgical Émile-Galle, CHU de Nancy, 49, rue Hermite, 54000 Nancy, France
| | - D Montoya-Faivre
- Service de chirurgie plastique et reconstructrice de l'appareil locomoteur, centre chirurgical Émile-Galle, CHU de Nancy, 49, rue Hermite, 54000 Nancy, France
| | - F Dap
- Service de chirurgie plastique et reconstructrice de l'appareil locomoteur, centre chirurgical Émile-Galle, CHU de Nancy, 49, rue Hermite, 54000 Nancy, France
| | - G Dautel
- Service de chirurgie plastique et reconstructrice de l'appareil locomoteur, centre chirurgical Émile-Galle, CHU de Nancy, 49, rue Hermite, 54000 Nancy, France
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Shen H, Shen XQ, Lv Y, Lu H, Xu JH, Wu SC. Three-dimensional virtual planning in precise chimeric fibula free flap for metacarpal defects: A case report. Medicine (Baltimore) 2017; 96:e7364. [PMID: 28767568 PMCID: PMC5626122 DOI: 10.1097/md.0000000000007364] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
Abstract
RATIONALE Metacarpal and phalanx defects with soft tissue loss were suggested to be reconstructed by vascularized bone flap. The fibular osteocutaneous flap is a preferred method. Three-dimensional virtual planning has successfully applied in mandibular reconstruction with fibular free flap. We applied three-dimensional virtual planning in precise fibula flap harvest to maintain the continuity of the fibula and to achieve accurate metacarpal and phalanx reconstruction. PATIENT CONCERNS A 35-year-old male presented with extensive soft tissue defects and first metacarpal defect involving the first metacarpophalangeal joint. DIAGNOSES There were 4 cm of first metacarpal defect involving the first metacarpophalangeal joint and soft tissue defects of 5cm × 3cm + 3cm × 2cm. INTERVENTIONS By combining three-dimensional virtual planning, we harvested a chimeric fibular flap. The precise fibula partial osteotomies were performed with cutting guides designed in virtual planning. OUTCOMES All the chimeric flaps survived and no significant donor-site morbidity was noted. Michigan Hand Outcome Questionnaire scores indicated acceptable functional results. LESSONS Our preliminary experience with the approach of three-dimensional virtual planning in precise chimeric fibula free flap is practical and efficient. Although more cases and follow-up are needed to evaluate it, this approach is expected to benefit patients.
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Affiliation(s)
- Hui Shen
- Department of Hand Surgery and Microsurgery Center, The First Affiliated Hospital, College of Medicine, ZheJiang University
| | - Xiang-qian Shen
- Department of Hand Surgery and Microsurgery Center, The First Affiliated Hospital, College of Medicine, ZheJiang University
| | - Ying Lv
- The Children's Hospital, Zhejiang University School of Medicine
| | - Hui Lu
- Department of Hand Surgery and Microsurgery Center, The First Affiliated Hospital, College of Medicine, ZheJiang University
| | - Jing-hong Xu
- Department of Plastic Surgery, The First Affiliated Hospital, College of Medicine, ZheJiang University, HangZhou, ZheJiang Province, China
| | - Shou-Cheng Wu
- Department of Hand Surgery and Microsurgery Center, The First Affiliated Hospital, College of Medicine, ZheJiang University
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Lesensky J, Nemec K, Kofranek I, Matejovsky Z. Autologous structural iliac bone grafts in reconstructions of short bone defects in the hand and foot after primary bone tumor resections: a single-institution retrospective study. EUROPEAN JOURNAL OF ORTHOPAEDIC SURGERY AND TRAUMATOLOGY 2017; 27:797-804. [DOI: 10.1007/s00590-017-1990-0] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/26/2017] [Accepted: 05/26/2017] [Indexed: 11/28/2022]
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Pomares G, Pauchard N, Dap F, Dautel G. An articular spacer for metacarpophalangeal fracture: The story of a crocodile bite. HAND SURGERY & REHABILITATION 2016; 35:371-374. [PMID: 27781984 DOI: 10.1016/j.hansur.2016.07.004] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/02/2016] [Revised: 06/13/2016] [Accepted: 07/13/2016] [Indexed: 10/21/2022]
Abstract
Choosing the best option for reconstructing comminuted joint fractures in hand surgery raises technical challenges due to the small size of the anatomical structures and the required early mobilization. Single-stage reconstructions are clearly preferable, but when the infection risk is high, two-stage alternatives are needed. We report a case of fracture of the head of the 2nd metacarpal resulting from a crocodile bite treated by implanting an articular spacer.
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Affiliation(s)
- G Pomares
- Service de chirurgie plastique et reconstructrice de l'appareil locomoteur, centre chirurgical Émile-Galle, CHU de Nancy, 49, rue Hermite, 54000 Nancy, France.
| | - N Pauchard
- Service de chirurgie plastique et reconstructrice de l'appareil locomoteur, centre chirurgical Émile-Galle, CHU de Nancy, 49, rue Hermite, 54000 Nancy, France
| | - F Dap
- Service de chirurgie plastique et reconstructrice de l'appareil locomoteur, centre chirurgical Émile-Galle, CHU de Nancy, 49, rue Hermite, 54000 Nancy, France
| | - G Dautel
- Service de chirurgie plastique et reconstructrice de l'appareil locomoteur, centre chirurgical Émile-Galle, CHU de Nancy, 49, rue Hermite, 54000 Nancy, France
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Reconstruction of an Entire Thumb Metacarpal: A Case Report. PLASTIC AND RECONSTRUCTIVE SURGERY-GLOBAL OPEN 2016; 4:e610. [PMID: 27014539 PMCID: PMC4778881 DOI: 10.1097/gox.0000000000000593] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/28/2015] [Accepted: 12/08/2015] [Indexed: 11/27/2022]
Abstract
This case report discusses the reconstruction of an entire thumb metacarpal after a diagnosis of giant cell tumor of bone. The patient underwent excision of the entire thumb metacarpal, followed by interposition of a tricortical iliac crest bone graft and metacarpophalangeal and carpometacarpal joint arthrodeses. This option allowed salvage of the patient's native thumb with functional use as a stable post to which she can pinch and grasp objects. At 9 months postoperatively, there was no evidence of recurrence.
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Abstract
A finger rendered unstable due to loss of metacarpal head can be stabilized by creating a synostosis at the base of the proximal phalanx of the affected finger with the adjacent normal finger. A cortico cancellous graft bridges the two adjacent proximal phalanges at their bases which are temporarily stabilized with an external fixator. The procedure can be done for, recurrence of giant cell tumor of metacarpal and for traumatic metacarpal loss. The procedure and long term follow up of one patient is presented who had giant cell tumor. This option should be considered before offering ray amputation. There is no micro vascular surgery involved, nor is there any donor site morbidity. The graft heals well without any absorption. The affected finger shows excellent function in the long term followup.
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Affiliation(s)
- Pankaj Jindal
- Consultant, Hand and Orthopaedic Reconstruction Surgeon, Department of Hand Surgery, Ratna Memorial Hospital, Pune, Maharashtra, India,Address for correspondence: Dr. Pankaj Jindal, A-704 Kasturkunj, ICS Colony, Bhosale Nagar, Ganeshkhind Road, Pune - 411 007, Maharashtra, India. E-mail:
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Houdek MT, Wagner ER, Wyles CC, Nanos GP, Moran SL. New options for vascularized bone reconstruction in the upper extremity. Semin Plast Surg 2015; 29:20-9. [PMID: 25685100 DOI: 10.1055/s-0035-1544167] [Citation(s) in RCA: 34] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
Originally described in the 1970s, vascularized bone grafting has become a critical component in the treatment of bony defects and non-unions. Although well established in the lower extremity, recent years have seen many novel techniques described to treat a variety of challenging upper extremity pathologies. Here the authors review the use of different techniques of vascularized bone grafts for the upper extremity bone pathologies. The vascularized fibula remains the gold standard for the treatment of large bone defects of the humerus and forearm, while also playing a role in carpal reconstruction; however, two other important options for larger defects include the vascularized scapula graft and the Capanna technique. Smaller upper extremity bone defects and non-unions can be treated with the medial femoral condyle (MFC) free flap or a vascularized rib transfer. In carpal non-unions, both pedicled distal radius flaps and free MFC flaps are viable options. Finally, in skeletally immature patients, vascularized fibular head epiphyseal transfer can provide growth potential in addition to skeletal reconstruction.
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Affiliation(s)
- Matthew T Houdek
- Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota
| | - Eric R Wagner
- Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota
| | - Cody C Wyles
- School of Medicine, Mayo Clinic, Rochester, Minnesota
| | - George P Nanos
- Walter Reed National Military Medical Center, Bethesda, Maryland
| | - Steven L Moran
- Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota ; Division of Plastic and Reconstructive Surgery, Mayo Clinic, Rochester, Minnesota
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Hills A, Tay S, Gateley D. Chondrosarcoma of the head of the fifth metacarpal treated with an iliac crest bone graft and concurrent Swanson's arthroplasty. J Plast Reconstr Aesthet Surg 2014; 67:e84-7. [DOI: 10.1016/j.bjps.2013.10.023] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/12/2013] [Accepted: 10/14/2013] [Indexed: 10/26/2022]
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Ansari MT, Kotwal PP, Rao S. Reconstruction with fibular autograft and silicone implant arthroplasty after resection of giant-cell tumour of the proximal phalanx: a case report with 18-month follow-up. Musculoskelet Surg 2013; 98:153-7. [PMID: 23371838 DOI: 10.1007/s12306-013-0243-6] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/30/2012] [Accepted: 11/15/2012] [Indexed: 12/01/2022]
Abstract
Primary giant-cell tumour of phalanx is a rare entity. Only few cases are described in the literature. Giant-cell tumour of hand is reported to have high local recurrence rate. Curettage and bone grafting have been performed by few authors with limited success. Most of the cases have been treated with ray amputation. We report this case as the first reported case in the literature that has been treated with fibular autograft and silicone implant arthroplasty for giant-cell tumour of the proximal phalanx.
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Affiliation(s)
- M T Ansari
- Department of Orthopaedics, All India Institute of Medical Sciences, New Delhi, India,
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