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Case Reports in Orthopedics - Volume 2017 2017, Article ID 4101346, 6 pages - https:-doi.org-10.1155-2017-4101346

Case Report

Department of Orthopaedics, Phramongkutklao Hospital and College of Medicine, Bangkok, Thailand

Department of Metallurgical Engineering, Faculty of Engineering, Chulalongkorn University, Bangkok, Thailand

Correspondence should be addressed to Suriya Luenam

Received 10 March 2017; Revised 9 May 2017; Accepted 23 May 2017; Published 15 June 2017

Academic Editor: Wan Ismail Faisham

Copyright © 2017 Thipachart Punyaratabandhu et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Giant cell tumor of the bones occurring in the first metacarpals frequently requires entire metacarpal resection due to the aggressive nature and high rate of recurrence. Bone reconstruction can be performed with autogenous bone grafts. Here we describe a new technique of reconstruction using a patient-matched three-dimensional printed titanium first metacarpal prosthesis. This prosthesis has a special design for ligament reconstruction in the proximal and distal portions. Good hand function and aesthetic appearance were maintained at a 24-month follow-up visit. This reconstructive technique can avoid donor-site complications and spare the autogenous bone grafts for revision options.





Autor: Thipachart Punyaratabandhu, Boonrat Lohwongwatana, Chedtha Puncreobutr, Arkaphat Kosiyatrakul, Puwadon Veerapan, and Suriya L

Fuente: https://www.hindawi.com/



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