Telisselis Panajotis, Heers Guido, Obernhuber Ernst
Klinik für Unfallchirurgie, Klinikum Passau, Innstraße 76, 94032, Passau, Deutschland.
Orthopädische Klinik Bad Abbach, Bad Abbach, Deutschland.
Unfallchirurg. 2017 Aug;120(8):707-711. doi: 10.1007/s00113-017-0336-z.
Giant cell reparative granuloma (GCRG) is benign, non-tumorous granulation tissue. It mainly arises in the jaw bone and occasionally in the hand and foot. Because of the high rate of recurrence, wide surgical resection and autologous bone grafting are recommended. However, this can be problematic for hand function. We present a case report of a 16-year-old boy with a GCRG of the fifth metacarpal bone and the diagnostic difficulties. To treat the patient, we performed a wide resection with the interposition of a corticocancellous bone graft and plate osteosynthesis. 24 months postoperatively the patient shows no signs of recurrence and has good hand function.
巨细胞修复性肉芽肿(GCRG)是一种良性非肿瘤性肉芽组织。它主要发生于颌骨,偶尔也见于手足部。由于其复发率高,建议行广泛手术切除并自体骨移植。然而,这对手部功能可能会有问题。我们报告一例16岁男孩第五掌骨巨细胞修复性肉芽肿的病例及诊断难点。为治疗该患者,我们进行了广泛切除,并植入皮质松质骨移植骨及钢板内固定。术后24个月,患者无复发迹象,手部功能良好。