Metacarpal reconstruction with free autogenous cartilage and bone following tumor resection. A case report.
A 26-year-old woman with a giant cell tumor of the metacarpal bone of the index finger was treated by en bloc resection and metacarpal reconstruction. A free autogenous iliac crest bone graft was used to reconstruct the metacarpal and a free autogenous costal cartilage graft was used to resurface the metacarpophalangeal joint. The bone graft was transfixed with a plate. The patient developed 12 degrees-62 degrees motion at the metacarpophalangeal joint and has maintained a stable joint space for 30 months. Viable hyaline cartilage was present when a biopsy procedure was performed on the joint at five months. The bone graft rapidly incorporated. There has been no evidence of tumor recurrence.
D000328:Adult; D001859:Bone Neoplasms / Q000601:surgery*; D016025:Bone Transplantation; D002356:Cartilage / Q000637:transplantation*; D005260:Female; D005870:Giant Cell Tumors / Q000601:surgery*; D006801:Humans; D007085:Ilium / Q000637:transplantation; D008663:Metacarpus / Q000601:surgery*; D014182:Transplantation, Autologous