Total Metacarpal Reconstruction with Fascia-Wrapped Fibular Graft Following Ewing Tumor Resection in a Growing Patient
Ewing tumor, a rare bone tumor, exceptionally affects the hand. We report a unique case of this tumor in the fourth metacarpal of a young patient. Reconstructing a digit after complete metacarpal removal because of sarcoma resection is a complex challenge, especially in growing individuals. We emplo...
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| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2025-01-01
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| Series: | Journal of Hand Surgery Global Online |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2589514124001889 |
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| author | Samer Abdel Al, MD Muhamad A. Al-Qawasmi, MD Muntaser Abu Shokor, MD Hamza M. Khalaf, MD Mohammad A. Alattar, PT |
| author_facet | Samer Abdel Al, MD Muhamad A. Al-Qawasmi, MD Muntaser Abu Shokor, MD Hamza M. Khalaf, MD Mohammad A. Alattar, PT |
| author_sort | Samer Abdel Al, MD |
| collection | DOAJ |
| description | Ewing tumor, a rare bone tumor, exceptionally affects the hand. We report a unique case of this tumor in the fourth metacarpal of a young patient. Reconstructing a digit after complete metacarpal removal because of sarcoma resection is a complex challenge, especially in growing individuals. We employed a novel technique involving a nonvascularized fibular autograft wrapped in fascia and intricate soft tissue reconstruction for proximal phalanx growth. The patient’s function remained satisfactory for more than 2-year follow-up. |
| format | Article |
| id | doaj-art-665c54320f044263bffa987a1212413f |
| institution | Kabale University |
| issn | 2589-5141 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Hand Surgery Global Online |
| spelling | doaj-art-665c54320f044263bffa987a1212413f2025-01-26T05:04:38ZengElsevierJournal of Hand Surgery Global Online2589-51412025-01-017198102Total Metacarpal Reconstruction with Fascia-Wrapped Fibular Graft Following Ewing Tumor Resection in a Growing PatientSamer Abdel Al, MD0Muhamad A. Al-Qawasmi, MD1Muntaser Abu Shokor, MD2Hamza M. Khalaf, MD3Mohammad A. Alattar, PT4Orthopedic Oncology, Hand, and Reconstructive Microsurgery, King Hussein Cancer Center, Amman, Jordan; Corresponding author: Department of Orthopedic Oncology, King Hussein Cancer Center, P.O. Box: 1269 Aljubeiha, Amman 11942, JordanOrthopedic Surgery, King Hussein Cancer Center, Amman, JordanOrthopedic Surgery, King Hussein Cancer Center, Amman, JordanUniversity of Jordan, Amman, JordanDepartment of Physiotherapy, King Hussein Cancer Center, Amman, JordanEwing tumor, a rare bone tumor, exceptionally affects the hand. We report a unique case of this tumor in the fourth metacarpal of a young patient. Reconstructing a digit after complete metacarpal removal because of sarcoma resection is a complex challenge, especially in growing individuals. We employed a novel technique involving a nonvascularized fibular autograft wrapped in fascia and intricate soft tissue reconstruction for proximal phalanx growth. The patient’s function remained satisfactory for more than 2-year follow-up.http://www.sciencedirect.com/science/article/pii/S2589514124001889Case reportEwing tumorFibula graftMetacarpalsReconstructive surgeryWide local excision |
| spellingShingle | Samer Abdel Al, MD Muhamad A. Al-Qawasmi, MD Muntaser Abu Shokor, MD Hamza M. Khalaf, MD Mohammad A. Alattar, PT Total Metacarpal Reconstruction with Fascia-Wrapped Fibular Graft Following Ewing Tumor Resection in a Growing Patient Journal of Hand Surgery Global Online Case report Ewing tumor Fibula graft Metacarpals Reconstructive surgery Wide local excision |
| title | Total Metacarpal Reconstruction with Fascia-Wrapped Fibular Graft Following Ewing Tumor Resection in a Growing Patient |
| title_full | Total Metacarpal Reconstruction with Fascia-Wrapped Fibular Graft Following Ewing Tumor Resection in a Growing Patient |
| title_fullStr | Total Metacarpal Reconstruction with Fascia-Wrapped Fibular Graft Following Ewing Tumor Resection in a Growing Patient |
| title_full_unstemmed | Total Metacarpal Reconstruction with Fascia-Wrapped Fibular Graft Following Ewing Tumor Resection in a Growing Patient |
| title_short | Total Metacarpal Reconstruction with Fascia-Wrapped Fibular Graft Following Ewing Tumor Resection in a Growing Patient |
| title_sort | total metacarpal reconstruction with fascia wrapped fibular graft following ewing tumor resection in a growing patient |
| topic | Case report Ewing tumor Fibula graft Metacarpals Reconstructive surgery Wide local excision |
| url | http://www.sciencedirect.com/science/article/pii/S2589514124001889 |
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