DOI: http://dx.doi.org/10.18203/issn.2455-4510.IntJResOrthop20160714

Reconstruction of metacarpal bone giant cell tumor by metatarsal bone

Saikat Sau

Abstract


Giant cell tumour of hand bones is not common especially in metacarpals. Considering its more aggressive behaviour and higher recurrence rate in metacarpals as compared to the other long bones, enblock resection of involved metacarpal is often required. Following resection of metacarpal, the available reconstruction techniques include metatarsal substitution, vascularized or non-vascularized fibular graft, and iliac crest strut graft. We describe a new technique of metacarpal reconstruction using a metatarpal bone and augment with k wire inside it. This new technique ensures good local control of disease, good hand function, maintains aesthetic appearance of hand associated with other reconstruction options.


Keywords


Giant cell tutor, Metacarpal, k wire, Metatarsal bone

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References


Kapoor A, Golwalaa P, Patela K, Desaib D, Yeluric S. Giant cell tumor of first metacarpal. Internet J orthop Surg. 2003;2:1.

Saikia KC, Bhuyan SK, Ahmed F, Chandra D. Giant cell tumor of the metacarpal bones. Indian J Orthop. 2011;45(5):475-8.

Shahid M, Varshney M, Maheshwari V, Mubeen A, Guar K, Siddiqui M. Duplication of appendix: an accidental finding. BMJ Case Rep. 2011; 2011: bcr0120113679.

Goldenberg RR, Campbell CJ, Bonfiglio M. Giant cell tumor of bone. An analysis of 218 cases. J Bone Joint Surg. 1970;52:619-64.

Averill RM, Smith RJ, Campbell CJ. Giant cell tumors of the bones of hand. J Hand Surg. 1980;5:39-50.

Dingles WR, Rolle HJ. Case report of a giant cell tumor of the second metacarpal bone and implantation of a cement prosthesis. Hand Chirurgie. 1979;11:251.