Metacarpal bone Ewing's sarcoma : utilizing autologous metatarsal graft as a reconstruction option following resection

Wan Ismail, Wan Faisham Numan and Sharifudin, Mohd Ariff and Krishnan, Jagdish and Wan, Zulmi and Mat Zin, Nor Azman and Mohamed Amir, Nawaz Hussain (2013) Metacarpal bone Ewing's sarcoma : utilizing autologous metatarsal graft as a reconstruction option following resection. In: 43rd Malaysian Orthopaedic Association Meeting/Annual Scientific Meeting, 5 - 8 June 2013, Kuching, Sarawak.

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Abstract

Introduction: Ewing’s sarcoma is a rare, malignant neoplasm; common in both the axial and appendicular skeleton but originates rarely in the bones of the hand. Historically, treatment involves combination of chemotherapy and radiotherapy. Depending on the anatomic location, the role of surgical intervention remains limited. Case Report: A case of an 11-year old girl with Ewing’s sarcoma of the first metacarpal bone of her dominant right hand with a solitary lung metastasis is described. Treatment consisted of neo- and adjuvant chemotherapy, and wide resection of the affected metacarpal bone followed by reconstruction of the thumb with an intercalated autologous second metatarsal bone graft. The bone gap at her left foot was filled with autologous tricortical iliac bone graft. At one year post-surgery, she achieved near normal functions of her dominant hand, with no donor sites morbidity. The surgical procedures are described together with the excellent functional outcomes of the patient. Discussion/ Conclusion: The use of autologous metatarsal bone graft to reconstruct the thumb following tumour resection is an excellent option available. It is relatively simple and can be performed in a single staged resection and reconstruction procedure.

Item Type:	Conference or Workshop Item (Poster)
Additional Information:	5770/30516
Uncontrolled Keywords:	Metacarpal bone, Ewing's sarcoma, metatarsal graft, resection
Subjects:	R Medicine > RB Pathology R Medicine > RC Internal medicine > RC254 Neoplasms. Tumors. Oncology (including Cancer) R Medicine > RD Surgery > RD701 Orthopedics
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button):	Kulliyyah of Medicine > Department of Department of Orthopaedics, Traumatology & Rehabilitation
Depositing User:	DR MOHD ARIFF SHARIFUDIN
Date Deposited:	25 Jun 2013 13:35
Last Modified:	25 Jun 2013 13:58
URI:	http://irep.iium.edu.my/id/eprint/30516

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