Giant Cell Tumor of the Metacarpal: Case Report

Lewallen, Laura; Wagner, Eric R.; Moran, Steven L.

doi:10.1177/1558944717697431

Cited by 7 publications

(4 citation statements)

References 26 publications

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“…It is typically found at the ends of long bones, especially in the distal femur and proximal tibia (2). The hand is a rare site of GCT occurrence, with the metacarpals and phalangeal epiphyses being involved in most cases, and reports of GCTs in the hand are relatively rare (14,15). (6 patients; 17.6%), fourth metacarpal (13 patients; 38.2%), or fifth metacarpal (6 patients; 17.6%), and 1 patient had multiple tumours involving the second, fourth, and fifth metacarpals.…”

Section: Discussionmentioning

confidence: 99%

3D-printed personalised prostheses for bone defect repair and reconstruction following resection of metacarpal giant cell tumours

Xu¹,

Qin²,

Cheng³

et al. 2021

Ann Transl Med

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Background: Conventional surgical treatment for metacarpal giant cell tumours (GCTs) includes lesion scraping followed by bone grafting or bone cement filling and en bloc resection followed by repair and reconstruction using a vascularised bone flap. However, these methods have inherent shortcomings, including a high postoperative recurrence rate and poor mechanical stability. 3D-printing techniques are increasingly being applied in medicine, and 3D-printed personalised prostheses have achieved good clinical effects in orthopaedic repair and reconstruction. We aimed to investigate the clinical effects of 3D-printed personalised prostheses for bone defect repair and reconstruction following resection of metacarpal GCTs.Methods: Three patients with metacarpal GCTs were examined in a retrospective cohort study. Through preoperative planning, a 3D-printed personalised prosthesis was designed and created for bone defect repair and reconstruction after tumour resection. Prosthesis fit, limb function, pain on the affected side, and the occurrence of complications were evaluated postoperatively.Results: Postoperative X-ray examination revealed a satisfactory fit of the 3D-printed prosthesis in terms of bone defect size and overall metacarpal shape, as well as good transverse and longitudinal metacarpal arches. The patients also exhibited good function in the affected limb, with good flexion and extension functions in the carpal, metacarpophalangeal, and interphalangeal joints, plus the absence of obvious pain, tumour recurrence, and complications such as pathologic fractures and prosthetic loosening.Conclusions: When using a 3D-printed personalised prosthesis for bone defect repair and reconstruction following resection of metacarpal GCTs, a good fit with the bone defect can be achieved during prosthetic installation when preoperative planning and design have been adequately performed. Therefore, threedimensionally printed personalised prostheses can serve as an effective method for the treatment of metacarpal GCTs.

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Section: Discussionmentioning

confidence: 99%

3D-printed personalised prostheses for bone defect repair and reconstruction following resection of metacarpal giant cell tumours

Xu¹,

Qin²,

Cheng³

et al. 2021

Ann Transl Med

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“…Der ossäre Riesenzelltumor (RZT) ist ein prinzipiell benigner, epiphysärer Tumor, jedoch mit lokal aggressivem Wachstum und der Fähigkeit, in seltenen Fällen pulmonal zu metastasieren. Die Inzidenz im Bereich der Hand, meist Mittelhandknochen und Phalangen, wird in der Literatur mit 2-5 % angegeben [1]. Patienten mit Befall der Hand sind im Durchschnitt 10 Jahre jünger als Patienten mit anderen Tumorlokalisationen und das Tumorverhalten zeigt ein wesentlich aggressiveres Wachstum sowie eine höhere Rezidivrate [2,3].…”

Section: Introductionunclassified

Rekonstruktion des 1. Mittelhandknochens mittels freier Fibula-Transplantation und Suspensions-Arthroplastik nach extraläsionaler Resektion eines ossären Riesenzelltumors

Rau¹,

Fonseca²,

Gazyakan³

et al. 2020

Handchir Mikrochir Plast Chir

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“…For these reasons, an MCP total joint arthroplasty was performed using a pyrocarbon implant. At the 5-year follow-up the patient had reasonable painfree MCP joint motion and stability, without any compromise of implant stability [8].…”

Section: Discussionmentioning

confidence: 89%

Result of the treatment of a recurrent giant cell tumour in the middle phalanx by combined bone grafting and restoration of the PIP joint: a case report.

Żyluk¹,

Szlosser²

2020

Handchir Mikrochir Plast Chir

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Giant Cell Tumor of the Metacarpal: Case Report

Abstract: To our knowledge, this is the only report of pyrocarbon being used for tumor reconstruction and the only report of late MCP allograft salvage.

Cited by 7 publications

References 26 publications

3D-printed personalised prostheses for bone defect repair and reconstruction following resection of metacarpal giant cell tumours

3D-printed personalised prostheses for bone defect repair and reconstruction following resection of metacarpal giant cell tumours

Rekonstruktion des 1. Mittelhandknochens mittels freier Fibula-Transplantation und Suspensions-Arthroplastik nach extraläsionaler Resektion eines ossären Riesenzelltumors

Result of the treatment of a recurrent giant cell tumour in the middle phalanx by combined bone grafting and restoration of the PIP joint: a case report.

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