Volume : IV, Issue : III, March - 2015
Satisfactory outcome of autologous fibular grafting following reconstruction in giant cell tumour of first metacarpal
Dr Prabal Sarma, Dr Angshuman Khanna, Dr Pradip Kumar Bhattacharya, Dr Rakesh Das
Abstract :
Although benign, Giant cell tumour (GCT) of the bone is a locally aggressive lesion, commonly affecting the epiphyseal ends of long bones after skeletal maturation. In the hand bones, GCT runs a further rapid course, often showing whole bone involvement and cortical each at presentation, along with significant functional deficit. The extent of the tumour at the time of diagnosis and the high recurrence rate reported after simple curettage or limited resection often dictate the need for an en bloc resection through normal tissues. The first metacarpal represents a rare site for GCT occurrence, and also a challenging reconstructive problem after such treatment. Among the various available treatment options aimed at preserving metacarpophalangeal joint mobility include metatarsal substitution, a combined iliac crest and metatarsal head graft and prosthetic replacement. However, in patients with low functional demands, simple substitution with a fibular autograft can provide satisfactory results.
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DOI : 10.36106/ijsr
Cite This Article:
Dr Prabal Sarma, Dr Angshuman Khanna, Dr Pradip Kumar Bhattacharya, Dr Rakesh Das Satisfactory outcome of autologous fibular grafting
following reconstruction in giant cell tumour of
first metacarpal International Journal of Scientific Research, Vol : 4, Issue : 3 March 2015
Number of Downloads : 1250
References :
Dr Prabal Sarma, Dr Angshuman Khanna, Dr Pradip Kumar Bhattacharya, Dr Rakesh Das Satisfactory outcome of autologous fibular grafting following reconstruction in giant cell tumour of first metacarpal International Journal of Scientific Research, Vol : 4, Issue : 3 March 2015
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