Metacarpal Aneurysmal Bone Cyst En Bloc Resection Reconstructed With Osteoarticular Allograft
| Autor: | Carlos Rodolfo Zaidenberg, Ryan Miller, Efrain Farias Cisneros, Ezequiel Ernesto Zaidenberg |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Male
musculoskeletal diseases Lytic lesions medicine.medical_specialty Radiography 030230 surgery Young Adult 03 medical and health sciences Grip strength Return to Work 0302 clinical medicine medicine Humans Orthopedics and Sports Medicine 030222 orthopedics business.industry En bloc resection Aneurysmal bone cyst Metacarpal Bones Articular surface Allografts medicine.disease Surgery Bone Cysts Aneurysmal business Range of motion Bone Plates Wide resection |
| Zdroj: | The Journal of Hand Surgery. 44:425.e1-425.e5 |
| ISSN: | 0363-5023 |
| DOI: | 10.1016/j.jhsa.2018.06.003 |
| Popis: | Aneurysmal bone cysts are large lytic lesions that appear most often around metaphyseal bone. The lesions are locally aggressive with high recurrence rates. Therefore, wide resection is commonly necessary, leading to challenging reconstruction of the defect, especially when the articular surface is involved. We present a case of an aneurysmal bone cyst of the fourth metacarpal, treated with an en bloc resection and reconstruction with a metacarpal osteoarticular allograft. At 8 years after surgery, the patient has shown no signs of recurrence, but radiographic articular reabsorption was noted. However, the patient showed an excellent outcome with a satisfactory active range of motion and grip strength. Despite potential complications, osteoarticular allograft is a feasible alternative when autologous osteoarticular reconstruction is not an option. |
| Databáze: | OpenAIRE |
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