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Chondrosarcoma of the head of the fifth metacarpal treated with an iliac crest bone graft and concurrent Swanson's arthroplasty

Authors
  • Hills, A.J.
  • Tay, S.
  • Gateley, D.1
  • 1 St George's Hospital
Type
Published Article
Journal
Journal of Plastic Reconstructive & Aesthetic Surgery
Publisher
Elsevier
Publication Date
Jan 01, 2013
Accepted Date
Oct 14, 2013
Volume
67
Issue
3
Pages
84–87
Identifiers
DOI: 10.1016/j.bjps.2013.10.023
Source
Elsevier
Keywords
License
Unknown

Abstract

Chondrosarcomas are rare malignant tumours of the bone with hyaline cartilage differentiation – only 1.5% affect the hands. Currently there is a limited range of techniques available to reconstruct the metacarpophalengeal joints affected by such neoplasias.We report a 30-year-old lady who presented with a grade 2 chondrosarcoma in the epiphseal region of her fifth metacarpal who underwent enbloc resection of the affected metacarpal and immediate reconstruction, using a Swansons arthroplasty and non-vascularised iliac crest bone graft. Our findings are presented after follow-up of 9 years and we review the current reconstructive options available.

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