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Limb Salvage in Secondary Chondrosarcoma of the Metatarsus.
J Foot Ankle Surg. 2016 Mar-Apr; 55(2):299-302.JF

Abstract

Malignant transformation of metatarsal osteochondroma into chondrosarcoma is a rare entity. The most optimal line of treatment, salvage procedure or amputation, continues to be debated. Both of these treatments have varied in popularity. We report the case of a 24-year-old male with chondrosarcoma secondary to differentiation of an osteochondroma in the second and third metatarsals. Wide resection of the tumor mass and reconstruction of the second and third metatarsals was performed using a simple and biologic approach. This was accomplished with an autologous nonvascularized fibular graft to reconstruct the longitudinal arch of the foot. The foot was successfully salvaged, with good anatomic, functional, and aesthetic results. At 1 year postoperatively, the patient was able to walk without any orthotic devices and had returned to his routine work. No evidence of local recurrence or metastasis was observed.

Authors+Show Affiliations

Postgraduate Student in Orthopaedics, Department of Orthopaedics, Maulana Azad Medical College, Delhi, India. Electronic address: dramite31@gmail.com.Professor, Department of Orthopaedics, Maulana Azad Medical College, Delhi, India.

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

25441268

Citation

Sharma, Amit, and Lalit Maini. "Limb Salvage in Secondary Chondrosarcoma of the Metatarsus." The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons, vol. 55, no. 2, 2016, pp. 299-302.
Sharma A, Maini L. Limb Salvage in Secondary Chondrosarcoma of the Metatarsus. J Foot Ankle Surg. 2016;55(2):299-302.
Sharma, A., & Maini, L. (2016). Limb Salvage in Secondary Chondrosarcoma of the Metatarsus. The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons, 55(2), 299-302. https://doi.org/10.1053/j.jfas.2014.09.018
Sharma A, Maini L. Limb Salvage in Secondary Chondrosarcoma of the Metatarsus. J Foot Ankle Surg. 2016 Mar-Apr;55(2):299-302. PubMed PMID: 25441268.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Limb Salvage in Secondary Chondrosarcoma of the Metatarsus. AU - Sharma,Amit, AU - Maini,Lalit, Y1 - 2014/11/22/ PY - 2014/03/24/received PY - 2014/12/3/entrez PY - 2014/12/3/pubmed PY - 2016/12/15/medline KW - chondrosarcoma KW - fibular bone graft KW - malignancy KW - metatarsal KW - oncologic surgery KW - osteochondroma SP - 299 EP - 302 JF - The Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle Surgeons JO - J Foot Ankle Surg VL - 55 IS - 2 N2 - Malignant transformation of metatarsal osteochondroma into chondrosarcoma is a rare entity. The most optimal line of treatment, salvage procedure or amputation, continues to be debated. Both of these treatments have varied in popularity. We report the case of a 24-year-old male with chondrosarcoma secondary to differentiation of an osteochondroma in the second and third metatarsals. Wide resection of the tumor mass and reconstruction of the second and third metatarsals was performed using a simple and biologic approach. This was accomplished with an autologous nonvascularized fibular graft to reconstruct the longitudinal arch of the foot. The foot was successfully salvaged, with good anatomic, functional, and aesthetic results. At 1 year postoperatively, the patient was able to walk without any orthotic devices and had returned to his routine work. No evidence of local recurrence or metastasis was observed. SN - 1542-2224 UR - https://www.unboundmedicine.com/medline/citation/25441268/Limb_Salvage_in_Secondary_Chondrosarcoma_of_the_Metatarsus_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1067-2516(14)00447-5 DB - PRIME DP - Unbound Medicine ER -