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: Alok C. Agrawal, Mukund Madhav Ojha, Somok Banerjee
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2023-01-01
Series:Journal of Orthopedics, Traumatology and Rehabilitation
Subjects:
Online Access:https://journals.lww.com/10.4103/jotr.jotr_125_22
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author Alok C. Agrawal
Mukund Madhav Ojha
Somok Banerjee
author_facet Alok C. Agrawal
Mukund Madhav Ojha
Somok Banerjee
author_sort Alok C. Agrawal
collection DOAJ
description 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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institution Kabale University
issn 0975-7341
2347-3746
language English
publishDate 2023-01-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series Journal of Orthopedics, Traumatology and Rehabilitation
spelling doaj-art-18a5ed89484b4095aa79b713b7d9cbaf2025-02-08T05:53:58ZengWolters Kluwer Medknow PublicationsJournal of Orthopedics, Traumatology and Rehabilitation0975-73412347-37462023-01-0115111211510.4103/jotr.jotr_125_22Tumor Resection, Reconstruction, and Ankle Fusion for Recurrent Giant Cell Tumor of the Distal TibiaAlok C. AgrawalMukund Madhav OjhaSomok BanerjeeGiant 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.https://journals.lww.com/10.4103/jotr.jotr_125_22ankle arthrodesisdistal tibiafibular strut graftgiant cell tumor
spellingShingle Alok C. Agrawal
Mukund Madhav Ojha
Somok Banerjee
Tumor Resection, Reconstruction, and Ankle Fusion for Recurrent Giant Cell Tumor of the Distal Tibia
Journal of Orthopedics, Traumatology and Rehabilitation
ankle arthrodesis
distal tibia
fibular strut graft
giant cell tumor
title Tumor Resection, Reconstruction, and Ankle Fusion for Recurrent Giant Cell Tumor of the Distal Tibia
title_full Tumor Resection, Reconstruction, and Ankle Fusion for Recurrent Giant Cell Tumor of the Distal Tibia
title_fullStr Tumor Resection, Reconstruction, and Ankle Fusion for Recurrent Giant Cell Tumor of the Distal Tibia
title_full_unstemmed Tumor Resection, Reconstruction, and Ankle Fusion for Recurrent Giant Cell Tumor of the Distal Tibia
title_short Tumor Resection, Reconstruction, and Ankle Fusion for Recurrent Giant Cell Tumor of the Distal Tibia
title_sort tumor resection reconstruction and ankle fusion for recurrent giant cell tumor of the distal tibia
topic ankle arthrodesis
distal tibia
fibular strut graft
giant cell tumor
url https://journals.lww.com/10.4103/jotr.jotr_125_22
work_keys_str_mv AT alokcagrawal tumorresectionreconstructionandanklefusionforrecurrentgiantcelltumorofthedistaltibia
AT mukundmadhavojha tumorresectionreconstructionandanklefusionforrecurrentgiantcelltumorofthedistaltibia
AT somokbanerjee tumorresectionreconstructionandanklefusionforrecurrentgiantcelltumorofthedistaltibia