采用有限腕中关节融合术行第三掌骨及头状骨切除治疗复发性骨巨细胞瘤：病例报告
Third-Ray and Capitate Resection with Limited Midcarpal Fusion for Recurrent Giant Cell Tumor: A Case Report.
作者信息
Bokemper Michael K, Araiza Edgar T, Templeton Kimberly J, Fox Tyler J
机构信息
Department of Orthopaedic Surgery, University of Kansas Medical Center, Kansas City, Kansas.
出版信息
JBJS Case Connect. 2018 Jan-Mar;8(1):e15. doi: 10.2106/JBJS.CC.17.00161.
CASE
We describe a 23-year-old man who had multiple recurrences of a giant cell tumor (GCT) of the third metacarpal. Initial treatments consisted of curettage without the use of an adjuvant and bone-grafting. At the time of the latest recurrence, the lesion had extended into the capitate and the trapezoid. Treatment included third-ray resection and limited midcarpal fusion. No local recurrence was identified at more than 1 year after surgery.
CONCLUSION
GCTs of the hand should be aggressively treated, but care should be taken to preserve function whenever possible.
病例
我们报告一名23岁男性，其第三掌骨巨细胞瘤多次复发。初始治疗包括不使用辅助剂的刮除术和骨移植。在最近一次复发时，病变已扩展至头状骨和大多角骨。治疗包括第三掌骨切除和有限的腕中关节融合术。术后1年多未发现局部复发。
结论
手部巨细胞瘤应积极治疗，但应尽可能注意保留功能。
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