Dhinsa Baljinder Singh, Mann Bhupinder Singh, Nawaz Syed Zuhair, Jalgaonkar Azal, Briggs Tim W R, Skinner John A
Royal National Orthopaedic Hospital, Stanmore, Middlesex, HA7 4LP, UK.
Hand Surg. 2011;16(3):357-60. doi: 10.1142/S0218810411005692.
Chondrosarcoma is most frequently present in the pelvis and long bones and rarely seen in the bones of the hand. Traditionally the treatment of choice for involvment of the hand is ray amputation, however this causes significant functional deficit if there is thumb involvement. There are limited cases in literature of resection of thumb chondrosarcoma with restoration of function. We present a case of high grade chondrosarcoma of the first metacarpal treated with resection and free fibular graft reconstruction. We report excellent functional outcome with this procedure.
软骨肉瘤最常出现在骨盆和长骨中，在手骨中很少见。传统上，手部受累的首选治疗方法是射线截肢，然而，如果拇指受累，这会导致严重的功能缺陷。文献中拇指软骨肉瘤切除并恢复功能的病例有限。我们报告一例第一掌骨高级别软骨肉瘤，采用切除和游离腓骨移植重建治疗。我们报道该手术取得了优异的功能结果。
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