Reconstruction of the first metacarpal after giant cell tumor excision using non-vascularised fibular autograft, ligament reconstruction and tendon interposition arthroplasty of the carpometacarpal joint.
- Author:
Orillaza Nathaniel S.
;
Dela Rosa Tammy L.
;
Study Group ASTRO (Advanced Study and
- Publication Type:Case report
- MeSH: Human; Female; Young Adult; Thumb; Metacarpal Bones; Autografts; Metacarpophalangeal Joint; Arthroplasty; Tendons; Finger Phalanges; Ligaments; Pain
- From: Acta Medica Philippina 2012;46(2):60-63
- CountryPhilippines
- Language:English
-
Abstract:
We report an innovative approach to reconstructing the defect after excision of giant tumor cell (GCT) involving the entire first metacarpal. Reconstruction was performed using non-vascularized fibular autograft fused at the metacarpo-phalangeal (MP) joint and soft tissue arthroplasty using ligament reconstruction and tendon interposition (LRTI) at the carpo-metacarpal (CMC) joint of the thumb.
Two years after the procedure, the CMC joint had functional pain-free motion and radiographs showed fusion of the MP joint. The patient did not present with any major complication and was satisfied with the outcome of the procedure.