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A Journal on Surgery

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Chirurgia 2013 April;26(2):125-8

language: English

A case of vascularized fibula bone graft in the treatment of a wide metacarpal enchondroma

Sassu P., Burrai S., Cara L.

Unit of Orhopedics and Reconstructive Microsurgery Ospedale Marino, Cagliari, Italia


Enchondroma is a common benign tumor of the hand that is usually treated by excision and the use of bone graft or substitutes depending on the size of the remaining defect. We present a case of a 46 years old woman who presented with a wide enchondroma that involved the whole third metacarpal bone leaving only few millimeters of the head and the base intact. Among different options a free fibula flap was chosen for reconstruction which allowed bone healing in 7 weeks and early functional recovery. Described already in traumatic cases the vascularized fibula can be a valid alternative even for benign metacarpal tumors when the remaining defect is big and the patients urges a prompt return to work.

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