Resection of a giant cell tumour of the proximal phalanx and reconstruction by iliac crest graft

Partially Ossified Iliac Crest Graft for the Reconstruction of the Pediatric Thumb Proximal Phalanx

“…Transferred bone graft surface remodelling is typical as the new articular surface will shape to meet the demands of the new biomechanical forces applied to it. This was seen in our iliac crest graft and reported by other authors [3, 5].…”

“…Graft survival with minimal resorption appears to be achieved when a good vascular bed is present to receive the graft. This occurred by leaving the phalangeal periosteal sleeve intact, as in the case of phalanx resection [3] or leaving the surrounding anatomy undisturbed [5]. Transferred bone graft surface remodelling is typical as the new articular surface will shape to meet the demands of the new biomechanical forces applied to it.…”

“…The iliac crest graft is a good choice for finger phalanx, and IP joint reconstruction as the donor site morbidity is minimal with no functional deficit. The digit receiving an iliac crest graft can have a good functional outcome [3, 5].…”

Giant Cell Tumours of Hand Bones: a Report of Two Cases

“…Despite the fact that the GCT is not a malignant tumour, the extent of tumour at the time of diagnosis and the high recurrence rate following limited resection often dictate the need of an en bloc resection through normal tissues to prevent local recurrence of the lesion [6]. Such a treatment creates a significant skeletal defect and a challenging reconstructive problem requiring reconstruction using autograft, allograft or silastic (synthetic) implant [1,8,10,11,20]. We have used iliac crest autograft in one of our patient to achieve functional and cosmetically acceptable hand.…”

“…The goals in treatment of Giant cell tumour of hand bones are to obtain local tumor control, restore hand function and maintain good cosmesis. Various procedures including excision (either local or wide), and amputation are used to eradicate the disease completely but despite single or double ray resection local tumor control may not be absolute [1,2,7,[9][10][11][12].…”