Lalchandani Tushar, Das Lakshmana, Sharma Pankaj, Goyal Tarun, Barwar Nilesh
Department of Orthopaedics, All India Institute of Medical Sciences, Bathinda, Punjab, India.
J Orthop Case Rep. 2025 Sep;15(9):95-100. doi: 10.13107/jocr.2025.v15.i09.6028.
Giant cell tumor (GCT) of bone is a rare, locally aggressive neoplasm predominantly affecting skeletally mature individuals, with infrequent, uncommon occurrence in the pediatric population.
This case report describes a young skeletally immature female presenting with a Campanacci grade 3 GCT of the distal radius, characterized an osteolytic lesion sparing the epiphysis. Following biopsy confirmation, the patient underwent wide local excision of the tumor with ulnar translocation, fixed using a distal radius locking plate to preserve joint integrity. Post-operative rehabilitation included physiotherapy to restore wrist mobility and grip strength.
At 2 years post-surgery, the patient demonstrated no re-occurrence of tumor and satisfactory functional outcomes, including 90° dorsiflexion, 35° palmar flexion, 60° pronosupination, and 68% grip strength compared to the contralateral side.
This report highlights an innovative surgical approach that preserves joint functionality in pediatric GCT cases, emphasizing the importance of anatomical reconstruction and long-term functional restoration.
骨巨细胞瘤（GCT）是一种罕见的、具有局部侵袭性的肿瘤，主要影响骨骼成熟的个体，在儿科人群中发生率很低且不常见。
本病例报告描述了一名骨骼未成熟的年轻女性，患有桡骨远端的坎帕纳奇3级骨巨细胞瘤，其特征为一个不累及骨骺的溶骨性病变。活检确诊后，患者接受了肿瘤广泛局部切除并尺骨移位，使用桡骨远端锁定钢板固定以保持关节完整性。术后康复包括物理治疗以恢复腕关节活动度和握力。
术后2年，患者未出现肿瘤复发，功能结果令人满意，包括背屈90°、掌屈35°、旋前旋后60°，与对侧相比握力为68%。
本报告强调了一种在儿科骨巨细胞瘤病例中保留关节功能的创新手术方法，强调了解剖重建和长期功能恢复的重要性。
