Saratov JOURNAL of Medical and Scientific Research

One-stage replacement of metacarpal bone due to osteoblastoma lesion

Year: 2020, volume 16 Issue: №1 Pages: 60-63
Heading: Surgery Article type: Case report
Authors: Khodzhamuradov G.M., Khuseynov Z.Kh., Ismoilov M.M., Saidov M.S., Shaimonov A.Kh., Sharipov G.N.
Organization: Republican Scientific Center of Cardiovascular Surgery (Dushanbe, Republic of Tajikistan)
Summary:

The presented clinical case demonstrates the advantages of one-stage replacement of the metacarpal defect (in osteoblastoclastoma) with the involvement of the distal articular head with the help of bone-articular avascular auto-transplant of the third metatarsal bone. The use of bone-articular avascular graft of the third metatarsal bone allowed almost perfectly compensate for the defect of the metacarpal bone. Optimal functional and aesthetic results with complete restoration of the lost anatomy were obtained. The duration of the operation was 1 hour 45 minutes. There were no complications in the immediate postoperative period.

Bibliography:
1. Kabul CS, Sanjeev KB, Firoz A, Debashish Ch. Giant cell tumor of the metacarpal bones. Indian Journal Orthopedics 2011; 45 (5): 475-8. DOI: 10.4103/0019-5413.83957.
2. Averill RM, Smith RJ, Campbell CJ. Giant cell tumours of the bones of the hand. Journal of Hand Surgery 1980; 5: 39-50.
3. Williams J, Hodari A, Janevski P, SiddiquiA. Recurrence of giant cell tumor in the hand: A prospective study. Journal of Hand Surgery 2010; 35: 451-6. [PubMed].
4. Slesarencko YA, Sampson SP, Gould ES. Giant cell tumour of the distal phalanx of hand. Journal of Hand Surgery 2005; 10:289-91.
5. Ozalp T, Yercan H, Okcu G, et al. Giant cell tumour of hand: Midterm results in five patients. Rev Chir Orthopedics Reparatrice Appar Mot 2007; 93: 842-7.
6. Smith RJ, Brushart TM. Allograft bone for metacarpal reconstruction. Journal of Hand Surgery 1985; 10 (3): 325-34.
7. Shlyakhtunov EA, Lud NG, Fedorenko II, Valshonok ON. Osteoblastoclastoma of the third metacarpal bone in a patient with secondary lymphedema of the upper limb: A case from practice. Surgery news 2013; 21 (2): 105-10.
8. Kuftyrev LM. Autoplasty of post-resection defects of the tubular bones of the hand in the treatment of benign tumors and tumor-like diseases using transostealosteses. The genius of orthopedics 2004; 2: 20-5.
9. Deykalo VP, Tolstik AN. Hand surgery: history, modern achievements, problems and development prospects. Surgery news 2006; 14 (4): 26-36.
10. Patradul A, et al. Allograft replacement in giant cell tumour of the hand. Hand Surgery 2001; 6 (1): 59-5.
11. Punyaratabandhu T, Lohwongwatana B, Puncreobutr C, et al. A Patient-Matched Entire First Metacarpal Prosthesis in Treatment of Giant Cell Tumor of Bone. Case Reports in Orthopedics 2017; 7 (1-6): 3. DOI: 10.1155/2017/4101346.
12. Jones NF, Dickinson BP, Hansen SL. Reconstruction of an entire metacarpal and metacarpophalangeal joint using a fibular osteocutaneous free flap and silicone arthroplasty. Journal of Hand Surgery 2012; 37 (2): 310-5.
13. Mendenhall WM, Zlotecki RA, Scarborough MT, et al. Giant cell tumor of bone. Journal of Clinical Oncology 2006; 29 (1):96-9.
14. Saikat S. Reconstruction of metacarpal bone giant cell tumor by metatarsal bone. Journal of Orthopaedic Surgery and Research 2016; 2(1): 23-35.
15. Kotwal PP, Nagaraj C, Gupta V. Vascularised joint transfer in the management of recurrent giant cell tumour of the second metacarpal. Journal of Hand Surgery-European 2008; 33 (3): 314-6.

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