Tricortical reconstruction after excision of giant cell tumour in phalanx: A case report

Abstract

Giant cell tumor (GCT) of bone is common type of osteolytic tumor being benign involving epiphyseal aspect of long bones like femur, tibia, humerus. In contrast, GCT of hand bones are relatively rare incidence of around 1-4%. Despite being benign in nature, they may be locally malignant with significant bone destruction, local recurrence. The diagnosis is based on the clinical, radiological, and histopathological findings with primary treatment being surgical. Each case should be assessed individually to ensure adequate treatment, aiming to prevent recurrences and functional limitations. Resection with reconstruction using iliac crest graft can be considered as alternate modality instead of ray amputation in terms of functionality and cosmesis.