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Pathologic Fractures Extended to the Metacarpal Head Related with Enchondromas at the Metacarpal Neck
Hiroyoshi Hagiwara1, Takahiro Nishimura1, Mayu Yamamura1
1* Department of Orthopedic Surgery, Tochigi Medical Center Shimotsuga, Tochigi, Japan.
Abstract:
We present two cases of pathologic fractures extended to the metacarpal head related with enchondromas at the metacarpal neck treated by surgery. The timing of surgery varied between the two cases. The first was operated without delay, using tumor curettage and β-TCP (tricalcium phosphate) packing in the cavity, followed by internal fixation of the fracture using a screw and Kirshner wires. In the second case, tumor curettage and β-TCP packing was performed after fracture union. Favorable clinical outcomes were obtained for both cases.
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