Fibular autograft and silicone implant arthroplasty after resection of giant cell tumor of the metacarpal--a case report with 9-year follow-up.

Copyright © Taylor & Francis 2004. ISSN 0001–6470. Printed in Sweden – all rights reserved. DOI 10.1080/00016470410004201 A 32-year-old man had been treated by curettage and filling with tricalcium phosphate because of a giant cell tumor of the fourth metacarpal bone of the right hand. The tumor recurred almost immediately and the patient was referred to us (Figure 1). Radiographs showed a pathological fracture of the metacarpal bone. CT and MRI revealed a swollen osteolytic lesion extending into the diaphysis. Total body scintigraphy showed pathological uptake of contrast medium only at the lesion. The lesion was exposed by a dorsal longitudinal incision, which included the previous surgical scar. The metacarpophalangeal joint was then dislocated, preserving the capsule and the collateral ligaments, and the metacarpal was resected at its proximal fourth. The resected segment was 4.5 cm long.