Resection of thumb metacarpal Ewings Sarcoma and primary reconstruction with a non-vascularized, autologous, osteoarticular metatarsal graft
Introduction: Ewings sarcoma is a rare, malignant neoplasm; rarely originates in the bones of the hand. Historically, treatment involves a combination of chemotherapy and radiotherapy. The role of surgical intervention remains limited, depending on the anatomic location. Resection and reconstruction...
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| Format: | Proceeding Paper |
| Language: | English English |
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2014
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| Online Access: | http://irep.iium.edu.my/36355/ http://irep.iium.edu.my/36355/2/APMSTS_2014_-_POSTER_-_EWINGS.pdf http://irep.iium.edu.my/36355/5/resection.pdf |
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| author | Sharifudin, Mohd Ariff Wan, Zulmi Wan Ismail, Wan Faisham Numan Mat Zin, Nor Azman |
| author_facet | Sharifudin, Mohd Ariff Wan, Zulmi Wan Ismail, Wan Faisham Numan Mat Zin, Nor Azman |
| author_sort | Sharifudin, Mohd Ariff |
| building | IIUM Repository |
| collection | Online Access |
| description | Introduction: Ewings sarcoma is a rare, malignant neoplasm; rarely originates in the bones of the hand. Historically, treatment involves a combination of chemotherapy and radiotherapy. The role of surgical intervention remains limited, depending on the anatomic location. Resection and reconstruction will usually result in reduced or loss of function. Methodology: We reviewed a case of an 11-year girl with Ewings sarcoma of the first metacarpal bone of her dominant right hand with a solitary lung metastasis. Results: Treatment consisted of neo- and adjuvant chemotherapy, and wide resection of the first metacarpal followed by reconstruction of her thumb with a non-vascularised, intercalated, autologous second metatarsal graft. The capsule of the graft’s metatarso-phalangeal joint was repaired to achieve mobility of the joint. Her donor site was reconstructed with an autologous tricortical iliac bone graft. Two years following surgery, she achieved near normal functioning of her dominant hand, with no donor site morbidity and local recurrence. The surgical techniques are described together with the excellent functional outcomes in the patient. Conclusion: The use of non-vascularised, autologous metatarsal bone graft to reconstruct the thumb following tumour resection is an excellent option available. It is relatively simple and can be performed as a single resection and reconstruction procedure.
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| first_indexed | 2025-11-14T15:46:00Z |
| format | Proceeding Paper |
| id | iium-36355 |
| institution | International Islamic University Malaysia |
| institution_category | Local University |
| language | English English |
| last_indexed | 2025-11-14T15:46:00Z |
| publishDate | 2014 |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | iium-363552018-06-20T01:07:55Z http://irep.iium.edu.my/36355/ Resection of thumb metacarpal Ewings Sarcoma and primary reconstruction with a non-vascularized, autologous, osteoarticular metatarsal graft Sharifudin, Mohd Ariff Wan, Zulmi Wan Ismail, Wan Faisham Numan Mat Zin, Nor Azman RB Pathology RC254 Neoplasms. Tumors. Oncology (including Cancer) RD701 Orthopedics Introduction: Ewings sarcoma is a rare, malignant neoplasm; rarely originates in the bones of the hand. Historically, treatment involves a combination of chemotherapy and radiotherapy. The role of surgical intervention remains limited, depending on the anatomic location. Resection and reconstruction will usually result in reduced or loss of function. Methodology: We reviewed a case of an 11-year girl with Ewings sarcoma of the first metacarpal bone of her dominant right hand with a solitary lung metastasis. Results: Treatment consisted of neo- and adjuvant chemotherapy, and wide resection of the first metacarpal followed by reconstruction of her thumb with a non-vascularised, intercalated, autologous second metatarsal graft. The capsule of the graft’s metatarso-phalangeal joint was repaired to achieve mobility of the joint. Her donor site was reconstructed with an autologous tricortical iliac bone graft. Two years following surgery, she achieved near normal functioning of her dominant hand, with no donor site morbidity and local recurrence. The surgical techniques are described together with the excellent functional outcomes in the patient. Conclusion: The use of non-vascularised, autologous metatarsal bone graft to reconstruct the thumb following tumour resection is an excellent option available. It is relatively simple and can be performed as a single resection and reconstruction procedure. 2014-04 Proceeding Paper PeerReviewed application/pdf en http://irep.iium.edu.my/36355/2/APMSTS_2014_-_POSTER_-_EWINGS.pdf application/pdf en http://irep.iium.edu.my/36355/5/resection.pdf Sharifudin, Mohd Ariff and Wan, Zulmi and Wan Ismail, Wan Faisham Numan and Mat Zin, Nor Azman (2014) Resection of thumb metacarpal Ewings Sarcoma and primary reconstruction with a non-vascularized, autologous, osteoarticular metatarsal graft. In: 10th Annual Asia Pacific Musculoskeletal Tumour Society (APMSTS) Scientific Meeting, 9-11 April 2014, Grand Hyatt Melbourne Australia. http://apmsts2014.aoa.org.au/ |
| spellingShingle | RB Pathology RC254 Neoplasms. Tumors. Oncology (including Cancer) RD701 Orthopedics Sharifudin, Mohd Ariff Wan, Zulmi Wan Ismail, Wan Faisham Numan Mat Zin, Nor Azman Resection of thumb metacarpal Ewings Sarcoma and primary reconstruction with a non-vascularized, autologous, osteoarticular metatarsal graft |
| title | Resection of thumb metacarpal Ewings Sarcoma and primary reconstruction with a non-vascularized, autologous, osteoarticular metatarsal graft |
| title_full | Resection of thumb metacarpal Ewings Sarcoma and primary reconstruction with a non-vascularized, autologous, osteoarticular metatarsal graft |
| title_fullStr | Resection of thumb metacarpal Ewings Sarcoma and primary reconstruction with a non-vascularized, autologous, osteoarticular metatarsal graft |
| title_full_unstemmed | Resection of thumb metacarpal Ewings Sarcoma and primary reconstruction with a non-vascularized, autologous, osteoarticular metatarsal graft |
| title_short | Resection of thumb metacarpal Ewings Sarcoma and primary reconstruction with a non-vascularized, autologous, osteoarticular metatarsal graft |
| title_sort | resection of thumb metacarpal ewings sarcoma and primary reconstruction with a non-vascularized, autologous, osteoarticular metatarsal graft |
| topic | RB Pathology RC254 Neoplasms. Tumors. Oncology (including Cancer) RD701 Orthopedics |
| url | http://irep.iium.edu.my/36355/ http://irep.iium.edu.my/36355/ http://irep.iium.edu.my/36355/2/APMSTS_2014_-_POSTER_-_EWINGS.pdf http://irep.iium.edu.my/36355/5/resection.pdf |