Giant Cell Tumor of Distal Radius Treated with Wide Local Excision and Reconstruction with Ipsilateral Proximal Fibular Autograft - A Follow-Up.

INTRODUCTION

Giant cell tumour or osteoclastoma is benign, locally aggressive tumor with bone destruction and with malignant potential. It accounts for 5% of all primary bone tumor and occurs in skeletally mature individuals in the age group of 30 to 45 with peak incidence in the 3rd decade. GCT is more common in females. It is usually a solitary lesion and typically involves epiphysio-metaphyseal region. Common sites involved are Distal end of Femur, proximal end of Tibia, distal end of Radius, upper end of Humerus, lower end of Tibia and other sites are hand,spine and Pelvis.

CASE REPORT

A 44 year old male presented with the complaints of pain and swelling over the right wrist for the past 3 months. He was diagnosed as bony giant cell tumor of right distal radius for which right distal radius wide excision was done. Ipsilateral proximal fibular autograft of appropriate length was used to reconstruct the defect. The graft united well with reasonable preservation of range of motion of wrist.

CONCLUSION

Giant cell tumor of distal radius can be managed by wide excision + reconstruction with proximal fibular autograft instead of arthrodesis. Reasonable range of wrist movements can be preserved.