Resection of thumb metacarpal Ewing Sarcoma and primary reconstruction with non-Vascularized osteoarticular metatarsal autograft

Ewing sarcoma is a primary bone malignancy that rarely occurs in the hand. Resection and reconstruction will usually result in reduced or loss of thumb function. We describe a case of successful transplantation of non- vascularized osteoarticular second metatarsal autograft following wide resection...

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Bibliographic Details
Main Authors: Sharifudin, Mohd Ariff, Wan Ismail, Wan Faisham Numan, Krishnan, Jagdish, Wan, Zulmi
Format: Article
Language:English
Published: International Islamic University Malaysia 2015
Subjects:
Online Access:http://irep.iium.edu.my/43224/
http://irep.iium.edu.my/43224/1/IMJM_Vol14No1_Page_103-107_Resection_of_Thumb_Metacarpal_Ewing_Sarcoma.pdf
Description
Summary:Ewing sarcoma is a primary bone malignancy that rarely occurs in the hand. Resection and reconstruction will usually result in reduced or loss of thumb function. We describe a case of successful transplantation of non- vascularized osteoarticular second metatarsal autograft following wide resection of Ewing sarcoma of first metacarpal in an 11-year-old girl. The capsule of the graft’s metatarso-phalangeal joint was repaired to achieve mobility of the joint. This enabled preservation of thumb function by a relatively simple surgical technique. Detailed surgical procedures and excellence function after 2 years following surgery are described.