Gharpinde Milind R, Pundkar Aditya, Shrivastava Sandeep, Chandanwale Rohan, Patel Hardik
Orthopedics, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.
Cureus. 2024 Apr 27;16(4):e59173. doi: 10.7759/cureus.59173. eCollection 2024 Apr.
Giant cell tumors (GCTs) of the bone present unique challenges in management due to their locally aggressive nature and potential for recurrence. This case report describes the successful surgical management of a GCT located in the proximal tibia of a 28-year-old female. The patient presented with six months of pain and swelling following a traumatic injury to the knee. Diagnostic imaging confirmed the presence of a GCT, leading to preoperative prophylactic embolization to reduce intraoperative bleeding. Surgical excision of the tumor was performed, followed by reconstruction using autologous fibula grafts and plate fixation. Postoperative care included analgesia, antibiotics, and physiotherapy. Regular follow-up demonstrated satisfactory clinical outcomes without evidence of recurrence. This case highlights the importance of a multidisciplinary approach combining surgical expertise, preoperative planning, and postoperative rehabilitation to achieve favorable outcomes in managing GCTs.
骨巨细胞瘤(GCTs)因其局部侵袭性和复发潜力,在治疗上存在独特挑战。本病例报告描述了一名28岁女性胫骨近端骨巨细胞瘤的成功手术治疗。患者在膝关节外伤后出现六个月的疼痛和肿胀。诊断性影像学检查证实存在骨巨细胞瘤,遂进行术前预防性栓塞以减少术中出血。对肿瘤进行了手术切除,随后采用自体腓骨移植和钢板固定进行重建。术后护理包括镇痛、使用抗生素和物理治疗。定期随访显示临床结果令人满意,无复发迹象。本病例强调了多学科方法的重要性,该方法结合手术专业知识、术前规划和术后康复,以在骨巨细胞瘤的治疗中取得良好效果。