Vascularised Joint Transfer in the Management of Recurrent Giant Cell Tumour of the Second Metacarpal

Abstract

This paper presents the medium-term follow-up results (34 and 40 months, respectively) of two cases of recurrent giant cell tumour of the head of the second metacarpal, treated by marginal excision and reconstruction with a vascularised toe joint transfer. Both patients had painless, stable joints with excellent ranges of motion at the metacarpophalangeal joint of 80 degrees and 70 degrees , respectively, no degenerative changes and no recurrence of the tumours.

One-Stage Rehabilitation of The Brush in Osteoblestklistoma Iii Metacarpal Bone Right Hand

“…At present, along with the supporters of radical resection of the affected bone segment, the practice of curettage with filling of the defect with avocular autografts of bones taken from the cortical plate of the tibia and the crest of the iliac Bone [7][8][9]. However, radical resection of the tumor in the form of a block of the affected area with a one-moment replacement of the bone-joint defect is a common standard, aimed at eliminating the risk of local recurrence [3,5,12,14,15].…”

“…The involvement of one or both joint heads of metacarpal bone in the process poses a difficult task for the surgeon in choosing the optimal transplant for the rehabilitation of the brush function. At present, in such cases, the autografts, Allo-or Xeno grafts are used [5][6][7][8][9][10][11][12][13][14][15]. The article describes the case of substitution of the metacarpal bone defect with the involvement of the distal joint head with the help of bonearticular autograft III metatarsal bone.…”

Reconstruction of the Second Metacarpal Bone after Bone Tumor Resection with Free Fibular Graft

“…Vascularized grafts are technically more difficult but tend to present lower rates of nonunion. The free graft union rates are as high as 89% [8,9]. Possible complications are delayed union or nonunion, stress fractures and infection.…”

Giant Cell Tumor of the Metacarpal: Case Report

“…When the treatment of the GCTs requires resection of the MCP joint, reconstruction options include fresh-frozen osteoarticular allograft, vascularized or nonvascularized autograft 3,13,15 or joint transfer, 12 or MCP total joint arthroplasty. Although fusion and amputation are other potential options to consider, loss of MCP joint motion or the entire ray has marked consequences on hand function.…”