Rengsen P, Tiong Kl, Teo Ym, Goh Tc, Sivapathasundram N
Department of Orthopaedics, Hospital Melaka, Malacca, Malaysia.
Malays Orthop J. 2013 Nov;7(3):15-7. doi: 10.5704/MOJ.1311.001.
Giant cell tumour in the metatarsal of a skeletally immature person is uncommon. Adequate surgical resection in this region can be difficult to achieve as there is little space between the rays of the foot. Furthermore, there is the challenge of restoring the metatarsophalangeal articulation after resection of the tumor. We describe a technique using non-vascularised fibular graft for reconstructing the 2nd metatarsal after en-bloc resection for giant cell tumour in a 14 year old adolescent female.
Metatarsal, Giant cell tumour, Non-vascularised fibular graft, En-bloc resection.
骨骼未成熟者跖骨的巨细胞瘤并不常见。由于足部各跖骨间空间狭小,该区域的充分手术切除可能难以实现。此外,肿瘤切除后恢复跖趾关节也存在挑战。我们描述了一种技术,在一名14岁青春期女性因巨细胞瘤行整块切除术后,使用非血管化腓骨移植重建第二跖骨。
跖骨;巨细胞瘤;非血管化腓骨移植;整块切除