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Journal of Hand Surgery (British and European Volume)
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Articles

Aneurysmal Bone Cysts in the Hand Treated by Free Non-Vascular Transfer of Metatarsal or Proximal Phalanx from the Foot

G. S. RAO
P. KEOGH
H. WEBSTER
P. G. LUNN
F. D. BURKE

From the Pulvertaft Hand Centre, Derbyshire Royal Infirmary, Derby, UK

Correspondence: Mr F. D. Burke, Pulvertaft Hand Centre. Derbyshire Royal Infirmary, London Road, Derby, UK.

Two cases of aneurysmal bone cyst in the hand are reported. In one case the entire first metacarpal was resected and grafted using the fourth metatarsal. In the second case diaphysectomy of the middle phalanx of the index digit was performed, and the proximal phalanx of the second toe was used as graft. Satisfactory length and function were maintained, the grafts remained viable and there was no donor site morbidity. Transplant of a metatarsal or toe phalanx to the hand, as a free non-vascularized graft, is a relatively straight forward operation, requires minimal refashioning of the graft, provides articular surfaces for joint reconstruction and leaves little donor site morbidity.

Journal of Hand Surgery (British and European Volume), Vol. 18, No. 6, 736-741 (1993)
DOI: 10.1016/0266-7681(93)90233-6
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This article has been cited by other articles:


Home page
 J Hand Surg Eur VolHome page
P. P. KOTWAL, C. NAGARAJ, and V. GUPTA
Vascularised Joint Transfer in the Management of Recurrent Giant Cell Tumour of the Second Metacarpal
J Hand Surg Eur Vol., June 1, 2008; 33(3): 314 - 316.
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