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Title: Central column reconstruction following total resection of a third metacarpal giant cell tumour
Authors: Lee, J.Y.L.
Pho, R.W.H. 
Yeo, D.S.C.
Keywords: Giant cell tumours
Hand reconstruction
Hand tumours
Metacarpal reconstruction
Metacarpalphalangeal joint reconstruction
Issue Date: 2005
Citation: Lee, J.Y.L., Pho, R.W.H., Yeo, D.S.C. (2005). Central column reconstruction following total resection of a third metacarpal giant cell tumour. Journal of Hand Surgery 30 (6) : 650-655. ScholarBank@NUS Repository.
Abstract: A wide resection of a giant cell tumour involving the entire middle metacarpal is presented. Reconstruction preserving the central column and metacarpophalangeal joint was achieved using autologous iliac crest bone as a spacer and structural support. The fibro-osseous cartilage portion of the iliac graft was used as a "hemi-joint" replacement. By using a bridging bone graft and screw to fuse the adjacent proximal phalanges of the middle and index fingers, a stable "internal syndactyly" was achieved. Although independent index and middle finger motion was sacrificed, the approach allowed wide resection for local tumour control, re-established structural integrity, preserved metacarpophalangeal joint motion and allowed early motion. The aesthetic result was also good. © 2005 The British Society for Surgery of the Hand. Published by Elsevier Ltd. All rights reserved.
Source Title: Journal of Hand Surgery
ISSN: 02667681
DOI: 10.1016/j.jhsb.2005.07.007
Appears in Collections:Staff Publications

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