Metacarpal resection with a contoured iliac bone graft and silicone rubber implant for metacarpal giant cell tumor: A case report

Carlow, Steven B.; Khuri, Suheil M.

doi:10.1016/s0363-5023(85)80121-0

Cited by 28 publications

(15 citation statements)

References 6 publications

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“…Several methods of reconstruction of the loss of metacarpal head have been described1234567 including ray amputation 89. The patient may accept amputation, only if informed about significant morbidity.…”

Section: Discussionmentioning

confidence: 99%

Synostosis of proximal phalangeal bases for loss of distal metacarpal

Jindal

2016

IJOO

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A finger rendered unstable due to loss of metacarpal head can be stabilized by creating a synostosis at the base of the proximal phalanx of the affected finger with the adjacent normal finger. A cortico cancellous graft bridges the two adjacent proximal phalanges at their bases which are temporarily stabilized with an external fixator. The procedure can be done for, recurrence of giant cell tumor of metacarpal and for traumatic metacarpal loss. The procedure and long term follow up of one patient is presented who had giant cell tumor. This option should be considered before offering ray amputation. There is no micro vascular surgery involved, nor is there any donor site morbidity. The graft heals well without any absorption. The affected finger shows excellent function in the long term followup.

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Section: Discussionmentioning

confidence: 99%

Synostosis of proximal phalangeal bases for loss of distal metacarpal

Jindal

2016

IJOO

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“…Malgré la perte fonctionnelle fréquemment rencontrée après la résection, cette option est parfois la seule recommandée [3] afin de minimiser le risque de récidive. En cas d'atteinte périarticulaire chez l'adulte, nous associons une arthroplastie de type Swanson [12][13][14] à la reconstruction par autogreffe fibulaire. Au niveau des os longs de la main, les traitements conservateurs plus agressifs telle la cryothérapie ou le ciment, souvent utilisés pour les autres localisations du squelette [10], semblent dans le cas des os de la main réservés aux lésions rebelles au curetage-greffe ou très évoluées d'emblée [11].…”

Section: Discussionunclassified

Kystes anévrismaux des phalanges et des métacarpiens. À propos de six cas et revue de la littérature

Ropars

Kaila

Briggs

et al. 2007

Chirurgie de la Main

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“…Later techniques made use of autologous metatarsal (Rinaldi 1976) or fibula grafts (Sanjay et al 1989). Carlow and Khuri (1985) described the use of an iliac bone graft shaped so as to host a silicon implant (Swanson) to replace the metacarpophalangeal joint. Autologous fibular graft is more suitable for hosting the prosthetic implant, and to ensure effective purchase by the screws used for fixation with the adjacent bone of the carpus because of its cylindrical shape and mechanical strength (Athanasian et al 1997b).…”

Section: Discussionmentioning

confidence: 99%