Vol. 7, Issue 1, Part A (2025)

Giant cell tumor of metacarpal bone are uncommon as compared to other sites. It is a benign but locally aggressive tumor. As it has high recurrence rate in metacarpal bone,enbloc resection of the affected metacarpal is often needed. The available reconstruction techniques include metatarsal substitution, vascularized or non-vascularized fibular graft and iliac crest strut graft. We describe a new technique of metacarpal reconstruction using a metatarsal bone and augment with plate and screw & k wire. This new technique ensures good local control of disease, good hand function, maintains cosmetic appearance of hand.