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Reconstruction of the Second Metacarpal Bone after Bone Tumor Resection with Free Fibular Graft
Hugo Fernandes
1
, Mariana Almeida
1
, Rita Lopes
1
, João Sousa
1
, Estevens Reis
2
, Leonor Fernandes
1
Department of Orthopedics,
1
Centro Hospitalar do Oeste - Torres Vedras, Portugal;
2
Clinica SOERAD - Torres Vedras, Portugal.
Corresponding Author:
Dr. Hugo Fernandes
Email: h5caetano5@gmail.com
Received:
02-AUG-2018
Accepted:
02-DEC-2018
Published Online:
25-DEC-2018
DOI:
http://dx.doi.org/10.17659/01.2018.0078
Abstract
Background
: Bone giant cell tumors are rarely found on the hand. Several treatments have been described but only the resection/ amputation of the affected segment can offer an effective cure in advanced cases. Various forms of reconstruction have been described, namely using a free graft of fibula.
Case Report
: The authors present a case of a man with an osteolytic and expansive lesion of the distal end of the second metacarpal that was treated with resection and autologous free fibular graft with good clinical and radiologic outcome.
Conclusion
: Free fibular graft is a possible solution to avoid ray amputation in cases of bone tumors in the metacarpals.
Keywords :
Bone Neoplasms, Bone Transplantation, Cartilage, Fibula, Metacarpal Bones.
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Almeida M
Lopes R
Sousa J
Reis E
Fernandes L
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Almeida M
Lopes R
Sousa J
Reis E
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