Tumor resection, reconstruction, and ankle fusion for recurrent giant cell tumor of the distal tibia

Autor: Alok C Agrawal, Mukund Madhav Ojha, Somok Banerjee
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Journal of Orthopedics, Traumatology and Rehabilitation, Vol 15, Iss 1, Pp 112-115 (2023)
Druh dokumentu: article
ISSN: 0975-7341
DOI: 10.4103/jotr.jotr_125_22
Popis: 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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