Proximal Fibular Autograft Reconstruction after Resection Giant Cell Tumor Distal Fibula
Background: Giant cell tumor (GCT) is a destructive bone tumor. The predilection of the GCT is mostly on the epiphysial of long bones. GCT of the distal fibula is a very rare case that becomes challenging in surgical management. The chosen surgical management is crucial and still under debate. Case...
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Universitas Airlangga
2021-09-01
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| Series: | Journal Orthopaedi and Traumatology Surabaya |
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| Online Access: | https://e-journal.unair.ac.id/JOINTS/article/view/25686 |
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| author | Mujaddid Idulhaq Muhammad Luthfi Azizi |
| author_facet | Mujaddid Idulhaq Muhammad Luthfi Azizi |
| author_sort | Mujaddid Idulhaq |
| collection | DOAJ |
| description | Background: Giant cell tumor (GCT) is a destructive bone tumor. The predilection of the GCT is mostly on the epiphysial of long bones. GCT of the distal fibula is a very rare case that becomes challenging in surgical management. The chosen surgical management is crucial and still under debate.
Case Report: A 38-years-old male complaint of a painful lump in the lateral side of his left ankle for three months. Plain radiographs demonstrate a lytic lesion involving distal fibula, appropriate with 2nd-grade Campanacci. MRI showed a mass centered on the distal fibula with intermediate to high T2 signal, low T1 signal, and homogenous contrast enhancement. The patient underwent a wide excision and reconstruction of the distal fibula with a fibular head graft from the ipsilateral side. After fifteen months of evaluation, the result was excellent. The patient can full-weight-bearing with a full range of ankle joint movement, return to daily activities without pain, and no signs of recurrence. Functional status measured by the MSTS and CAIT showed good results, with total scores was 28 and 27.
Discussion: Ten centimeters distal fibula is a crucial component to form stability of the ankle. Reconstruction of the distal fibula after wide excision requires the bone graft and is considered to maintain ankle stability. It can be achieved using autograft from fibula or iliac crest.
Conclusion: Reconstruction of distal fibula GCT with proximal fibular autograft showed a great result. This method is a viable option as it provides good pain relief and functional improvement. |
| format | Article |
| id | doaj-art-824a51ca850d4619b6a129774c683703 |
| institution | Kabale University |
| issn | 2722-712X 2460-8742 |
| language | English |
| publishDate | 2021-09-01 |
| publisher | Universitas Airlangga |
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| series | Journal Orthopaedi and Traumatology Surabaya |
| spelling | doaj-art-824a51ca850d4619b6a129774c6837032025-02-12T07:28:29ZengUniversitas AirlanggaJournal Orthopaedi and Traumatology Surabaya2722-712X2460-87422021-09-01102535810.20473/joints.v10i2.2021.53-5821040Proximal Fibular Autograft Reconstruction after Resection Giant Cell Tumor Distal FibulaMujaddid Idulhaq0https://orcid.org/0000-0003-0895-248XMuhammad Luthfi Azizi1https://orcid.org/0000-0003-2360-9049Department of Orthopaedic and Traumatology, Faculty of Medicine, Universitas Sebelas Maret - Prof. DR. R. Soeharso Hospital, Surakarta, IndonesiaDepartment of Orthopaedic and Traumatology, Faculty of Medicine, Universitas Sebelas Maret - Prof. DR. R. Soeharso Hospital, Surakarta, IndonesiaBackground: Giant cell tumor (GCT) is a destructive bone tumor. The predilection of the GCT is mostly on the epiphysial of long bones. GCT of the distal fibula is a very rare case that becomes challenging in surgical management. The chosen surgical management is crucial and still under debate. Case Report: A 38-years-old male complaint of a painful lump in the lateral side of his left ankle for three months. Plain radiographs demonstrate a lytic lesion involving distal fibula, appropriate with 2nd-grade Campanacci. MRI showed a mass centered on the distal fibula with intermediate to high T2 signal, low T1 signal, and homogenous contrast enhancement. The patient underwent a wide excision and reconstruction of the distal fibula with a fibular head graft from the ipsilateral side. After fifteen months of evaluation, the result was excellent. The patient can full-weight-bearing with a full range of ankle joint movement, return to daily activities without pain, and no signs of recurrence. Functional status measured by the MSTS and CAIT showed good results, with total scores was 28 and 27. Discussion: Ten centimeters distal fibula is a crucial component to form stability of the ankle. Reconstruction of the distal fibula after wide excision requires the bone graft and is considered to maintain ankle stability. It can be achieved using autograft from fibula or iliac crest. Conclusion: Reconstruction of distal fibula GCT with proximal fibular autograft showed a great result. This method is a viable option as it provides good pain relief and functional improvement.https://e-journal.unair.ac.id/JOINTS/article/view/25686giant cell tumorproximal fibular autograftreconstructionhuman and medicine |
| spellingShingle | Mujaddid Idulhaq Muhammad Luthfi Azizi Proximal Fibular Autograft Reconstruction after Resection Giant Cell Tumor Distal Fibula Journal Orthopaedi and Traumatology Surabaya giant cell tumor proximal fibular autograft reconstruction human and medicine |
| title | Proximal Fibular Autograft Reconstruction after Resection Giant Cell Tumor Distal Fibula |
| title_full | Proximal Fibular Autograft Reconstruction after Resection Giant Cell Tumor Distal Fibula |
| title_fullStr | Proximal Fibular Autograft Reconstruction after Resection Giant Cell Tumor Distal Fibula |
| title_full_unstemmed | Proximal Fibular Autograft Reconstruction after Resection Giant Cell Tumor Distal Fibula |
| title_short | Proximal Fibular Autograft Reconstruction after Resection Giant Cell Tumor Distal Fibula |
| title_sort | proximal fibular autograft reconstruction after resection giant cell tumor distal fibula |
| topic | giant cell tumor proximal fibular autograft reconstruction human and medicine |
| url | https://e-journal.unair.ac.id/JOINTS/article/view/25686 |
| work_keys_str_mv | AT mujaddididulhaq proximalfibularautograftreconstructionafterresectiongiantcelltumordistalfibula AT muhammadluthfiazizi proximalfibularautograftreconstructionafterresectiongiantcelltumordistalfibula |