PMC6304854_01
Plain radiographs of the left foot showing an expansile, radiolucent lesion of the first metatarsal base surrounding the known cement implantation of the first metatarsal.
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Radiographs of the left foot showed an expansile, radiolucent lesion of the first metatarsal base surrounding the known cement implantation of the first metatarsal (Figure 1).
Magnetic resonance imaging showing a large soft-tissue mass surrounding the first metatarsal circumferentially and abutting the second metatarsal with high T2 signal and no T1 signal changes at the base of the second metatarsal.
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Magnetic resonance imaging showed a large soft-tissue mass surrounding the first metatarsal circumferentially and abutting the second metatarsal (Figure 2).
Computed tomography (CT) scan demonstrating an expansile lucency at the proximal aspect of the first metatarsal base toward the dorsal lateral side.
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Computed tomography (CT) scan demonstrated an expansile lucency at the proximal aspect of the first metatarsal base toward the dorsal lateral side (Figure 3).
Intraoperative imaging demonstrating a wide resection disarticulating the TMT joint, placement of the graft in an appropriate position, and plate and screw fixation.
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The graft was secured with an anatomic plate and screw construct (Figures 4 and 5).
Intraoperative photographs demonstrating wide resection of proximal metatarsal and reconstruction with a TMT arthrodesis plate.
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The graft was secured with an anatomic plate and screw construct (Figures 4 and 5).
Nine-month postoperative plain radiographs and CT scan demonstrating osseous bridging at both the proximal and distal graft sites with no signs of tumor recurrence.
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Nine months after surgery, plain radiographs and CT demonstrated osseous bridging at both the proximal and distal graft sites with no signs of tumor recurrence (Figure 6).