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J Wrist Surg 2021; 10(04): 347-349
DOI: 10.1055/s-0040-1719040
Case Report

Tricortical Bone Grafting with Limited Midcarpal and Carpometacarpal Fusion for the Treatment of Giant Cell Tumor of the Capitate

Byron E. Chalidis 
1   1st Orthopaedic Department of Aristotle University of Thessaloniki, G. Papanikolaou Hospital, Exohi, Thessaloniki, Greece
,
Christos G. Dimitriou
1   1st Orthopaedic Department of Aristotle University of Thessaloniki, G. Papanikolaou Hospital, Exohi, Thessaloniki, Greece
,
Panagiotis K. Givissis
1   1st Orthopaedic Department of Aristotle University of Thessaloniki, G. Papanikolaou Hospital, Exohi, Thessaloniki, Greece
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Abstract

Background Giant cell tumor (GCT) of capitate is a rare lesion that is challenging to treat.

Case Description We present a case of a 12-year-old girl suffering from a GCT of the capitate. Wide excision combined with adjuvant treatment including hydrogen peroxide, alcohol, tricortical bone grafting, and limited midcarpal and carpometacarpal fusion achieved good functional result without evidence of tumor recurrence or radiocarpal degeneration at 8 years postoperatively.

Clinical Relevance In this case with long-term follow-up, surgical treatment of capitate GCT with limited midcarpal and carpometacarpal fusion led to a satisfactory outcome despite the alteration of wrist kinematics.

Keywords

giant cell tumor - capitate - midcarpal fusion - carpometacarpal fusion - tricortical bone grafting

Note

The authors confirm that informed consent of the patient is taken for the publication of this case report.


Authors' Contributions

B.E.C. prepared and submitted the article. C.G.D. participated in the design of the manuscript. P.K.G. critically revised the manuscript.




Publication History

Received: 09 May 2020

Accepted: 24 August 2020

Article published online:
04 November 2020

© 2020. Thieme. All rights reserved.

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