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Nadkarni S, Punit AS, Nair RV. Giant Cell Tumour of Distal Fibula Managed by En Block Resection and Reconstruction with Ipsilateral Proximal Fibula. J Orthop Case Rep. 2015;5(1):52-4doi: 10.13107/jocr.2250-0685.255.
Nadkarni, S., Punit, A. S., & Nair, R. V. (2015). Giant Cell Tumour of Distal Fibula Managed by En Block Resection and Reconstruction with Ipsilateral Proximal Fibula. Journal of orthopaedic case reports, 5(1), 52-4. https://doi.org/10.13107/jocr.2250-0685.255
Nadkarni, Sambprasad, et al. "Giant Cell Tumour of Distal Fibula Managed by En Block Resection and Reconstruction with Ipsilateral Proximal Fibula." Journal of orthopaedic case reports vol. 5,1 (2015): 52-4. doi: https://doi.org/10.13107/jocr.2250-0685.255
Nadkarni S, Punit AS, Nair RV. Giant Cell Tumour of Distal Fibula Managed by En Block Resection and Reconstruction with Ipsilateral Proximal Fibula. J Orthop Case Rep. 2015 Jan-Mar;5(1):52-4. doi: 10.13107/jocr.2250-0685.255. PMID: 27299021; PMCID: PMC4719355.
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J Orthop Case Rep. 2015 Jan-Mar;5(1):52-4. doi: 10.13107/jocr.2250-0685.255.

Giant Cell Tumour of Distal Fibula Managed by En Block Resection and Reconstruction with Ipsilateral Proximal Fibula.

Journal of orthopaedic case reports

Sambprasad Nadkarni, Abhinanadan S Punit, Rohit V Nair

Affiliations

  1. Department of Orthopaedics, Goa medical college, Goa, India.

PMID: 27299021 PMCID: PMC4719355 DOI: 10.13107/jocr.2250-0685.255

Abstract

INTRODUCTION: Giant cell tumour is the commonest benign bone tumour arising at the epiphyseometaphyseal regions of long bones. Around the knee is commonest site followed by distal radius. A giant cell tumour of the distal fibula is extremely rare. We report here a case of giant cell tumour of distal fibula. There are very few similar cases reported worldwide and it is the purpose of this report to describe the management of such a case.

CASE REPORT: A 17 year old girl presented with swelling of ankle and pain while walking for six months. Radiographs were suggestive of a giant cell tumour, computerised tomography revealed cortical break, en block resection was done with ipsilateral proximal fibula used in reconstruction of ankle mortise.

CONCLUSION: Giant cell tumour of long bones are common but those involving the distal fibula are exceedingly rare. The management of such tumours with high recurrence rates can be easily accomplished by en block resection and reconstruction of the ankle mortise with proximal fibula ensuring good range of motion of the joint post operatively.

Keywords: Distal fibula; ankle reconstruction; giant cell tumour

Conflict of interest statement

Conflict of Interest: Nil

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