title: Recurrent GCT of Distal Femur Treated with Resection Arthrodesis with Non-Vascularized Bilateral Fibular Graft and A Custom-Made Interlock Nail.
abstract: BACKGROUND
  Giant Cell Tumors commonly occur around the knee joint in the age group of 20-30 years. They are treated with intra-lesional curettage or local resection and limb reconstruction. Management of large bone defects after resection is a challenge and is of ten complicated with non-union of grafts, infection and delayed weight bearing.
  
  
  METHODS
  A 37-year-old male presented with an aggressive recurrent giant cell tumor of the distal femur. He was and was diagnosed with a GCT of the left distal femur 2 years ago for which he was treated with an intralesional curettage and Poly methylmetacrylate implantation. A resection arthrodesis using a bilateral non-vascularised intramedullary fibular graft and a custom made intramedullary nail was performed. The follow-up radiographs showed union at graft-host junction and hypertrophy of the grafted fibula at 2 years post surgery.
  
  
  CONCLUSIONS
  Non-vascularised fibular graft is an effective alternative for resection arthrodesis with the advantages of a simpler and shorter surgical procedure and without the needs for a microsurgical setup.
authors.affiliation: Department of Orthopaedics, D.Y Patil University School of Medicine and Hospital, Navi Mumbai, India.
authors.forename: Tuteja
authors.initials: T
authors.lastname: Sanesh
authors.affiliation: Department of Orthopaedics, D.Y Patil University School of Medicine and Hospital, Navi Mumbai, India.
authors.forename: Kale
authors.initials: K
authors.lastname: Sachin
authors.affiliation: Department of Orthopaedics, D.Y Patil University School of Medicine and Hospital, Navi Mumbai, India.
authors.forename: Chaudhari
authors.initials: C
authors.lastname: Prasad
authors.affiliation: Department of Orthopaedics, D.Y Patil University School of Medicine and Hospital, Navi Mumbai, India.
authors.forename: Dhar Sanjay
authors.initials: DS
authors.lastname: B
keywords: Arthrodesis; Giant cell tumor; Limb Reconstruction