Thrombocytopenia and its management in the surgical patient needing multiple reconstructive procedures.

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.

Desmoplastic fibroma of the hand: case report.

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.