Fibrosarcoma of metacarpal treated by combined therapy and immediate reconstruction with vascularized bone graft

Pennington, David; Marsden, W.; Stephens, Frederick O.

doi:10.1016/s0363-5023(10)80154-6

Cited by 9 publications

(1 citation statement)

References 8 publications

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“…Vascularized bone grafts offer distinct advantages over conventional nonvascularized bone grafts because they have superior resistance to infection and they rely on normal principles of fracture healing (Bengoechea-Beebey et al, 1998). The mechanical and biological properties of bone are retained in vascularized bone grafts, including hypertrophy and remodelling in response to load-bearing (Kumta et al, 1998;Pennington et al, 1991). The free vascularized fibular graft is nowadays the mainstay in vascularized bony reconstruction, and has been successfully used in bridging segmental defects of the upper extremity and in replacement of the distal radius (Ono et al, 1997;Weiland et al, 1979).…”

Section: Discussionmentioning

confidence: 99%

Recurrent Osteoblastoma of the Hamate Bone

Dijk

Winters

Wuisman

1999

Journal of Hand Surgery

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An osteoblastoma in a carpal bone is very rare and presents a problem of reconstruction after wide tumour excision. We report a case of recurrent osteoblastoma of the right hamate bone with involvement of the ulnar carpal bones and soft tissues that was successfully treated by en bloc resection, temporary interposition of bone cement and fixation with K-wires, followed by reconstruction with a free vascularized iliac crest flap, tailored to the exact size of the defect, in a second procedure. Rapid fusion was achieved and hand function preserved with no evidence of recurrence 3 years postoperatively.

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