Intercalary bone grafting for the reconstruction of phalangeal osteolysis in disappearing bone disease: case report.
Disappearing bone disease (DBD) is a rare condition of unknown etiology that may cause massive hand deformity due to severe osteolysis and soft-tissue atrophy. Bone grafting of the affected metacarpal bones or wrist has been described with moderate success in only 4 cases, but phalanx reconstruction has not been attempted. We report a case with multicentric DBD that was treated with staged intercalary iliac bone grafting of the phalanges of the dominant thumb and index finger. After 3 years, no graft resorption was noticed and the patient reported considerable functional improvement.
Chalidis
Byron E
BE
Department of Orthopedic Surgery, University of California, San Francisco, CA 94143-2203, USA. byronchalidis@gmail.com
Dimitriou
Christos G
CG
D000328:Adult; D016025:Bone Transplantation / Q000379:methods*; D005260:Female; D050278:Finger Phalanges; D006801:Humans; D007085:Ilium / Q000637:transplantation*; D010015:Osteolysis, Essential / Q000601:surgery*