Recurrent giant cell tumour of distal tibia: Case report and review of the literature

Madi, Sandesh S and Vijayan, Sandeep and Naik, Monappa A and Rao, Sharath K (2015) Recurrent giant cell tumour of distal tibia: Case report and review of the literature. Annals of Medical and Biomedical Science, 70 (2). pp. 1-4.

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Background: Giant Cell Tumour [GCT] is a familiar benign but locally aggressive bone tumour especially around the knee joint. Less than 4% of these tumours are known to affect the ankle joints. But, its biological behavior at this rare location is quite unpredictable. Moreover, restoring the ankle joint functionality following tumour resection is a challenging task Case report: We report a case of Giant Cell Tumour of distal end of left Tibia in a 53 year old male patient. Initially the condition was treated by curettage and bone grafting. But, due to recurrence of the condition within 6 months, he was treated with extended curettage and bone cementation. At One year follow up there is no recurrence and reasonably good function around the ankle joint is maintained. Conclusions: Primary GCTs have been traditionally treated with curettage of the lesion followed by bone grafts/bone cement. Recurrent cases often require aggressive management. In our case, despite recurrence, extended curettage of the lesion was done and the defect was packed with bone cement. This added adjuvant treatment offered good stability and allowed early mobilization of the ankle joint. This case substantiates the use of bone cement in the treatment of recurrent GCT of distal Tibia whenever the articular integrity is intact with reasonably good functional outcomes. However, a periodic follow-up is still recommended to watch-out for late re-recurrences.

Item Type: Article
Uncontrolled Keywords: Giant cell tumour; bone cementv; distal tibia; recurrence.
Subjects: Medicine > KMC Manipal > Orthopaedics
Depositing User: KMC Manipal
Date Deposited: 16 Jun 2015 09:18
Last Modified: 16 Jun 2015 09:18

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