title: Repair of a multiply recurrent giant cell reparative granuloma of the hand with wide resection and fibular grafting.
abstract: A patient with multiply recurrent giant cell reparative granuloma of the third metacarpal is reported. Three prior excisions failed to prevent recurrence. A wide resection and replacement with a nonvascularized fibular bone graft resulted in elimination of the tumor at the 7-year follow-up visit.
authors.affiliation: Department of Orthopaedics, Yale University School of Medicine, New Haven, CT, USA.
authors.forename: O
authors.initials: O
authors.lastname: Ugwonali
authors.forename: R N
authors.initials: RN
authors.lastname: Eisen
authors.forename: S W
authors.initials: SW
authors.lastname: Wolfe
mesh_terms: D001860:Bone Plates; D016025:Bone Transplantation; D002675:Child, Preschool; D003646:Debridement; D005260:Female; D005593:Fracture Fixation, Internal; D005598:Fractures, Spontaneous / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D006101:Granuloma, Giant Cell / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008663:Metacarpus / Q000000981:diagnostic imaging / Q000293:injuries / Q000473:pathology / Q000601:surgery*; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D011859:Radiography; D012008:Recurrence; D012086:Reoperation