Tumor Resection, Reconstruction, and Ankle Fusion for Recurrent Giant Cell Tumor of the Distal Tibia
Giant cell tumor (GCT) is a common, mostly benign, locally aggressive tumor of bone. Distal femur, proximal tibia, and distal radius appear to be the most affected parts of the skeleton. We are reporting a case of recurrent GCT involving the distal tibia treated with resection and arthrodesis of the...
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| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2023-01-01
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| Series: | Journal of Orthopedics, Traumatology and Rehabilitation |
| Subjects: | |
| Online Access: | https://journals.lww.com/10.4103/jotr.jotr_125_22 |
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| Summary: | Giant cell tumor (GCT) is a common, mostly benign, locally aggressive tumor of bone. Distal femur, proximal tibia, and distal radius appear to be the most affected parts of the skeleton. We are reporting a case of recurrent GCT involving the distal tibia treated with resection and arthrodesis of the ankle using contralateral fibular strut graft. A male patient presented to us with pathological fracture of the left distal tibia due to recurrent GCT. Radiological assessment was suggestive of locally aggressive tumor involving the meta-epiphyseal region. The patient underwent wide margin excision of tumor and ankle fusion using the contralateral fibula as a second pillar to increase the stability of construct. GCT involving the distal tibia is a rare presentation and demands meticulous efforts to manage after recurrence. Resection of tumor mass and ankle arthrodesis is a good option as it provides a stable ankle and overall good patient satisfaction. |
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| ISSN: | 0975-7341 2347-3746 |