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DOI: 10.1055/s-0041-1729942
Free Osteoarticular Metatarsal Autograft in the Reconstruction of Giant Cell Tumor of Metacarpal. Report of Two Cases and Description of Technique[*]
Article in several languages: português | English
Abstract
Giant cell tumors are benign but locally aggressive bone neoplasms containing many multinucleated giant cells similar to osteoclasts. The author reports the case of two patients with giant cell tumor in the metacarpals, one of whom was multicentric. Giant cell tumor in the hand is a rare condition, and, at this location, it commonly presents at an advanced stage, with extensive bone destruction.
Thus, its safe resection, associated with a large resulting bone failure, represents a great challenge to the orthopedist. The various treatment options described in the literature cause severe cosmetic and/or functional impairment to the hand. Thinking about it, the author describes the treatment technique through the transfer of metatarsus-free osteoarticular graft to the metacarpal with good functional and cosmetic results.
Note
The present study was conducted in accordance with the Helsinki Declaration of the World Medical Association on Ethical Principles for Medical Research involving Human Beings, and was reviewed by the Institutional Review Committee of Universidade Católica de Pelotas.
Financial Support
This work was supported by the Instituto de Pesquisa e Ensino Home, Brasilia, DF, Brazil.
* Work developed at Universidade Católica de Pelotas, Pelotas, Rio Grande do Sul, RS, Brazil.
Publication History
Received: 01 August 2020
Accepted: 01 December 2020
Article published online:
13 August 2021
© 2021. Sociedade Brasileira de Ortopedia e Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
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