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Journal of Case Reports
Reconstruction of the Second Metacarpal Bone after Bone Tumor Resection with Free Fibular Graft
Hugo Fernandes1, Mariana Almeida1,  Rita Lopes1, João Sousa1, Estevens Reis2, Leonor Fernandes1
Department of Orthopedics, 1Centro Hospitalar do Oeste - Torres Vedras, Portugal; 2Clinica 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
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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