一名年轻成人第一跖骨骨巨细胞瘤：采用腓骨皮质骨移植的罕见综合治疗
The Giant Cell Tumor of 1st Metatarsal in a Young Adult: A Rare Versatile Management with Fibula Cortical Graft.
作者信息
Shamanth K R, Shivanna P
机构信息
Department of Orthopedics, Chamarajanagar Institute of Medical Sciences, Chamarajanagar, Karnataka, India.
Department of Orthopedics, Sri Atal Bihari Vajpayee Institute of Medical Sciences, Bengaluru, Karnataka, India.
出版信息
J Orthop Case Rep. 2025 May;15(5):165-170. doi: 10.13107/jocr.2025.v15.i05.5598.
INTRODUCTION
Giant cell tumor is a benign aggressive tumor commonly affecting the 2nd decade. Most commonly seen in the ends of long bones like the distal femur, proximal tibia, distal radius, and proximal humerus, but it does occur in small bones like hands and feet in <2%.
CASE REPORT
A young female adult of age 23 has been diagnosed with a giant cell tumor of her 1st metatarsal and underwent complete excision with reconstruction with non-vascularized autogenous cortical fibula strut graft using a reconstruction plate and screws and 1-year follow-up showed a good graft union and no signs of recurrence.
CONCLUSION
Local resection of the affected metatarsal combined with chemoablation reduces recurrence risk, while a fibula graft offers structural stability. In our case, there were no signs of recurrence, and the graft showed good incorporation.
引言
骨巨细胞瘤是一种常见于20岁左右的侵袭性良性肿瘤。最常见于长骨末端，如股骨远端、胫骨近端、桡骨远端和肱骨近端，但也有不到2%的病例发生在手足等小骨。
病例报告
一名23岁的年轻成年女性被诊断为第一跖骨骨巨细胞瘤，并接受了完整切除，使用重建钢板和螺钉进行非血管化自体皮质腓骨支撑移植重建，1年的随访显示移植骨愈合良好，无复发迹象。
结论
对受影响的跖骨进行局部切除并结合化学消融可降低复发风险，而腓骨移植可提供结构稳定性。在我们的病例中，没有复发迹象，移植骨显示出良好的融合。
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