title: Free fibular graft reconstruction following resection of chondrosarcoma in the first metacarpal.
abstract: Chondrosarcoma is most frequently present in the pelvis and long bones and rarely seen in the bones of the hand. Traditionally the treatment of choice for involvment of the hand is ray amputation, however this causes significant functional deficit if there is thumb involvement. There are limited cases in literature of resection of thumb chondrosarcoma with restoration of function. We present a case of high grade chondrosarcoma of the first metacarpal treated with resection and free fibular graft reconstruction. We report excellent functional outcome with this procedure.
authors.affiliation: Royal National Orthopaedic Hospital, Stanmore, Middlesex, HA7 4LP, UK. bsd14@hotmail.com
authors.forename: Baljinder Singh
authors.initials: BS
authors.lastname: Dhinsa
authors.forename: Bhupinder Singh
authors.initials: BS
authors.lastname: Mann
authors.forename: Syed Zuhair
authors.initials: SZ
authors.lastname: Nawaz
authors.forename: Azal
authors.initials: A
authors.lastname: Jalgaonkar
authors.forename: Tim W R
authors.initials: TW
authors.lastname: Briggs
authors.forename: John A
authors.initials: JA
authors.lastname: Skinner
mesh_terms: D000369:Aged, 80 and over; D001859:Bone Neoplasms / Q000175:diagnosis / Q000601:surgery*; D016025:Bone Transplantation / Q000379:methods*; D002813:Chondrosarcoma / Q000175:diagnosis / Q000601:surgery*; D005360:Fibula / Q000637:transplantation*; D005500:Follow-Up Studies; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D050279:Metacarpal Bones; D010027:Osteotomy / Q000379:methods*; D019651:Plastic Surgery Procedures / Q000379:methods*