title: A Rare Giant Cell Tumor of the Distal Fibula and its Management.
abstract: Giant Cell Tumour (GCT) of the distal fibula is extremely rare and poses challenges in the surgical management. Wide excision or intralesional curettage, along with adjuvant chemical cauterisation can prevent the recurrence of GCT. The excised bone gap needs reconstruction using tricortical iliac autograft and supportive plate fixation. In addition to wide excision, preservation of ankle mortise is advisable in locally aggressive and large lesions of the distal fibula. We report a GCT of the distal fibula in a young female patient. As part of the treatment, en bloc resection, chemical cauterisation with phenol, and distal fibula reconstruction with a tricortical iliac crest bone graft was done. Eighteen months after the treatment, the patient has no recurrence and her ankle is stable with full range of movement. We suggest this method to be worthwhile for the treatment of this uncommon lesion in quantifying recurrence and functional outcome.
authors: Orthopaedics, Indraprastha Apollo Hospitals.
authors: Raju
authors: R
authors: Vaishya
authors: Orthopaedics, Sumandeep Vidyapeeth, Vadodara, Gujarat.
authors: Chirag
authors: C
authors: Kapoor
authors: Orthopaedics, Sumandeep Vidyapeeth, Vadodara, Gujarat.
authors: Paresh
authors: P
authors: Golwala
authors: Orthopaedics, Indraprastha Apollo Hospitals.
authors: Amit Kumar
authors: AK
authors: Agarwal
authors: Orthopaedics, Indraprastha Apollo Hospitals.
authors: Vipul
authors: V
authors: Vijay
keywords: bone graft; chemical cauterization; fibula; giant cell tumour; reconstruction