En bloc Excision and Matched Metatarsal Transfer for Expansive Benign Osteolytic Lesions of the Metacarpal

Pallapati, Samuel C. Raj; Thomas, Binu P.; Anderson, George A.

doi:10.1016/j.jhsa.2016.08.004

Cited by 10 publications

(10 citation statements)

References 18 publications

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“…Nonvascularized matched metatarsal transfer for osteoarticular reconstruction of the metacarpal has been described earlier with good outcomes 4,9 . Pallapati et al in their series demonstrated good outcomes with matched metatarsal transfer after tumor resection and noted that shortening of the donor toe was the most common finding after a metatarsal transfer at the donor site 4 . Our patient too did not have any major donor site morbidity.…”

Section: Discussionmentioning

confidence: 95%

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Nonvascularized Double Metatarsal Transfer After Excision of Epithelioid Hemangioma of Hand

Pallapati

Sasi

et al. 2023

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Case: Epithelioid hemangioma (EH) is an uncommon, benign, locally aggressive neoplasm, and it may present as multifocal lytic lesions with soft tissue involvement in the hand. We report the midterm follow-up of a patient with recurrent EH of the hand that was reconstructed successfully, with a nonvascularized double metatarsal transfer, after tumor excision. To the best of the authors' knowledge, this is the first case report where a nonvascularized double metatarsal transfer has been used successfully after tumor resection. Conclusion: Osteoarticular replacement with matched metatarsal transfer after en bloc resection may be used successfully for reconstruction, after the resection of EH involving the metacarpal.

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Section: Discussionmentioning

confidence: 95%

“…The fixation was augmented with an intermetacarpal wire. The metacarpophalangeal joint ligament reconstruction was performed as described by the senior author elsewhere 4 . The hand was placed in a below elbow cast with the hand in the functional position for 6 weeks after which the cast and the intermetacarpal K-wire were removed.…”

Section: Case Reportmentioning

confidence: 99%

Nonvascularized Double Metatarsal Transfer After Excision of Epithelioid Hemangioma of Hand

Pallapati

Sasi

et al. 2023

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“…We performed a systematic review of a total of 6 case reports and 1 case series, which led to a total of 15 cases with GCT, [8][9][10][11][12] aneurysm bone cysts, [12] atypical cartilaginous lesion, [12] or traumas [13,14] undergoing surgery involving 1 bony resection with MCP joint reconstruction (Appendix 1, http://links.lww. com/MD/M229).…”

Section: Discussionmentioning

confidence: 99%

Metacarpophalangeal joint reconstruction using a costal osteochondral graft: A case report

Ho,

Lee,

Hsu

et al. 2024

Medicine

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Rationale: The conventional treatment of giant cell tumors is intralesional curettage with local adjuvant therapy. Because hand tumors have a high local recurrence, the primary goal for treating tumors of the hand is to eradicate the lesion. Patient concerns: To preserve the metacarpophalangeal (MCP) joint function as well as avoid further recurrence after surgery. Diagnoses: The giant cell tumor invades the patient’s MCP joint in an index proximal phalanx. Interventions: Using computer-aided design and three-dimensional printing techniques, we reformed the original shapes of the MCP joint and its peripheral bone to replica models. The surgeon then performed an en bloc resection and proximal phalanx with MCP joint reconstruction by fabricating the patient’s costal osteochondral graft during the operation. Outcomes: After 6 months of rehabilitation, the patient’s finger functions could pinch and grasp objects naturally. At the 1-year follow-up, the range of motion of the MCP, proximal interphalangeal, and distal interphalangeal joints improved from flexion of 35° to 60°, 75° to 85°, and 60° to 80°, respectively. The hand function achieved the mean performance of non-preferred hands for young females at the postoperative 3-year follow-up. Lessons: The customized prototyping technique has the potential to replica the original patient’s bony graft to reach the goal of minimizing the defects at the donor site and maximizing the function of the reconstructed MCP joint.

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“…Some authors recommend more radical treatment, including en bloc resection 3 and strut bone grafting. 4 5 These are associated with lesser rates of recurrence; however, they are associated with higher morbidity.…”

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confidence: 99%

Primary Aneurysmal Bone Cyst of the Phalanx

Pai

Rajappa

Pavithra

2023

Journal of Hand and Microsurgery

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En bloc Excision and Matched Metatarsal Transfer for Expansive Benign Osteolytic Lesions of the Metacarpal

Cited by 10 publications

References 18 publications

Nonvascularized Double Metatarsal Transfer After Excision of Epithelioid Hemangioma of Hand

Nonvascularized Double Metatarsal Transfer After Excision of Epithelioid Hemangioma of Hand

Metacarpophalangeal joint reconstruction using a costal osteochondral graft: A case report

Primary Aneurysmal Bone Cyst of the Phalanx

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