ABSTRACT
Thrombocytopenic patients with surgically correctable lesions such as radial clubhands are too often repeatedly transfused with randomly pooled platelets. This is followed by a clinical rejection of the foreign protein and rapid destruction of the platelets. There may be excessive bleeding episodes. Tissue typing technics now available can provide antigenically compatible platelet concentrates which elicit few of these reactions. Therefore, multiple reconstructive procedures can be achieved with a greater safety margin than previously possible.
Subject(s)
Surgical Procedures, Operative , Thrombocytopenia , Thrombocytopenia/complications , Blood Transfusion , Female , Hand/surgery , Hand Deformities, Congenital , Histocompatibility Testing , Humans , Infant , Platelet Transfusion , Preoperative Care , Thrombocytopenia/diagnosis , Thrombocytopenia/therapyABSTRACT
We present a patient who had a desmoplastic fibroma at the base of the metacarpal of his long finger. The operation to remove the lesion and to reconstruct the metacarpal is described. The history of the experiences with this lesion is reviewed.
