Resection of thumb metacarpal Ewings Sarcoma and primary reconstruction with a non-vascularized, autologous, osteoarticular metatarsal graft

Sharifudin, Mohd Ariff and Wan, Zulmi and Wan Ismail, Wan Faisham Numan and Mat Zin, Nor Azman (2014) Resection of thumb metacarpal Ewings Sarcoma and primary reconstruction with a non-vascularized, autologous, osteoarticular metatarsal graft. In: 10th Annual Asia Pacific Musculoskeletal Tumour Society (APMSTS) Scientific Meeting, 9-11 April 2014, Grand Hyatt Melbourne Australia.

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Abstract

Introduction: Ewings sarcoma is a rare, malignant neoplasm; rarely originates in the bones of the hand. Historically, treatment involves a combination of chemotherapy and radiotherapy. The role of surgical intervention remains limited, depending on the anatomic location. Resection and reconstruction will usually result in reduced or loss of function. Methodology: We reviewed a case of an 11-year girl with Ewings sarcoma of the first metacarpal bone of her dominant right hand with a solitary lung metastasis. Results: Treatment consisted of neo- and adjuvant chemotherapy, and wide resection of the first metacarpal followed by reconstruction of her thumb with a non-vascularised, intercalated, autologous second metatarsal graft. The capsule of the graft’s metatarso-phalangeal joint was repaired to achieve mobility of the joint. Her donor site was reconstructed with an autologous tricortical iliac bone graft. Two years following surgery, she achieved near normal functioning of her dominant hand, with no donor site morbidity and local recurrence. The surgical techniques are described together with the excellent functional outcomes in the patient. Conclusion: The use of non-vascularised, autologous metatarsal bone graft to reconstruct the thumb following tumour resection is an excellent option available. It is relatively simple and can be performed as a single resection and reconstruction procedure.

Item Type:	Conference or Workshop Item (Poster)
Additional Information:	5770/36355
Uncontrolled Keywords:	Ewing's sarcoma
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:	16 Apr 2014 10:30
Last Modified:	20 Jun 2018 09:07
URI:	http://irep.iium.edu.my/id/eprint/36355

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