Chandanwale Rohan, Pundkar Aditya, Chandanwale Ajay, Kanani Kashyap, Bukhari Rameez, Mittal Ankit
Department of Orthopaedics, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences, Wardha, IND.
Department of Orthopaedics, Jawaharlal Nehru Medical College, Datta Meghe Institute Of Medical Sciences, Wardha, IND.
Cureus. 2022 Dec 27;14(12):e32984. doi: 10.7759/cureus.32984. eCollection 2022 Dec.
Giant cell tumor (GCT) is among the commonest benign tumors and represents 5% of bone neoplasms. It is more common in young adults aged between 20 and 40 years. The distal femur is one of the most common sites, with the proximal tibia and distal radius the next frequently involved site, respectively. Previous research indicates that the tumor is an uncommon occurrence at this given age and location. Surgical management is the primary treatment for GCT universally. Extended curettage with the use of an argon beam cauterizer, a power burr, bone cement, hydrogen peroxide, phenol, liquid nitrogen, and zinc chloride are some of the treatment modalities for GCT. Opting for appropriate surgical treatments plays a crucial role to reduce the rate of recurrence and improve functional and oncological outcomes. In this case study, a 55-year-old male was diagnosed with GCT of the head of the right fibula with foot drop. The patient was managed with wide excision of the tumor and anchoring of lateral collateral ligament and biceps femoris to medial tibia condyle followed by postoperative galvanic stimulation for common peroneal nerve neuropraxia and guarded weight-bearing mobilization with bracing for knee joint. After 12 months of follow-up, there is no evidence of recurrence with a stable knee joint and dorsiflexion of the right ankle up to the neutral position.
骨巨细胞瘤（GCT）是最常见的良性肿瘤之一，占骨肿瘤的5%。它在20至40岁的年轻人中更为常见。股骨远端是最常见的部位之一，其次是胫骨近端和桡骨远端。先前的研究表明，在这个特定的年龄和部位，这种肿瘤并不常见。手术治疗是骨巨细胞瘤普遍的主要治疗方法。使用氩气刀、动力磨钻、骨水泥、过氧化氢、苯酚、液氮和氯化锌进行扩大刮除术是骨巨细胞瘤的一些治疗方式。选择合适的手术治疗对于降低复发率、改善功能和肿瘤学结局起着至关重要的作用。在本病例研究中，一名55岁男性被诊断为右腓骨头骨巨细胞瘤并伴有足下垂。患者接受了肿瘤广泛切除，将外侧副韧带和股二头肌固定于胫骨内侧髁，术后对腓总神经失用症进行电刺激，并使用膝关节支具进行保护性负重活动。随访12个月后，没有复发迹象，膝关节稳定，右踝关节背屈至中立位。
