Giant cell tumor is a relatively uncommon tumor of bones accounting for 5% of all the primary bone tumors. In the small bones of hands it occurs even more rarely. Only 2-5% of all the giant cell tumors have been reported to affect the hand and metacarpal involvement is much less common than a phalangeal one [1-4]. The tumor occurring at this site commonly presents at an advanced stage and is associated with more bony destruction thereby complicating treatment [5-8]. Also these are associated with higher rate of recurrence [2]. The various treatment modalities described are curettage with or without bone grafting, en bloc resection and reconstruction and ray amputations [2] . We here describe a case of successful transplantation of 4th metatarsal along with its osteo-articular ligamentous complex to replace the 5th metacarpal bone which was the site of tumor. This enabled us to preserve the full function of the metacarpo-phalangeal joint by a relatively simple technique.
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