Management of giant cell tumor of lower third tibia with curettage and reconstruction by cementation and locking plate: A case report

Abstract

Introduction: Giant cell tumour of bones is an unusual neoplasm that accounts for 4% of all primary tumours of bone, and it represents about 10% of malignant primary bone tumours with its different grades from borderline to high grade malignancy (1). GCT generally occurs in skeletally mature individuals with its peak incidence in in the third decade of life. Distal femur and proximal tibia are the commonest sites followed by distal radius (2), less than 4% of these tumours are known to affect the ankle joint, but the tumour's biological behavior at this site is quite unpredictable. Moreover, restoring the ankle joint functionality following tumour resection is a challenging task. Case Summary: 27 year old female presented with pain over right ankle since last two years. Biopsy was suggestive of Giant Cell Tumor of lower third tibia. We managed this case with intralesional curettage using phenol and bone cement as an adjuvant and reconstruction of defect by cementation along with locking plate.