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

Hills, A J; Tay, S; Gateley, D · J Plast Reconstr Aesthet Surg · 2014

case_report · Level V

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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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