Introduction. Giant cell tumor of bones is an unusual neoplasm that accounts for 4% of all primary tumors of bone, and it represents about 10% of malignant primary bone tumors with its different grades from borderline to high grade malignancy. Case Report. A 35-year-old patient presented with complains of pain and swelling in left ankle since 1 year following a twisting injury to his left ankle. On examination, swelling was present over the distal and anterior part of leg and movements of ankle joint were normal. All routine blood investigations were normal. X-ray and CT ankle showed morphology of subarticular well-defined expansile lytic lesion in lower end of left tibia suggestive of giant cell tumor. Histopathology of the tissue shows multinucleated giant cells with uniform vesicular nucleus and mononuclear cells which are spindle shaped with uniform vesicular nucleus suggestive of GCT. The patient was treated by excision, curettage, and bone cement to fill the defect. Conclusion. The patient at 12-month followup is doing well and walking without any pain comfortably and with full range of motion at ankle joint with articular congruity maintained and no signs of recurrences.
Introduction:Supracondylar fracture of the humerus is a
common injury in children. It accounts for 60% of fractures
around the elbow children. If the fracture is not treated
properly it may give rise to many complications like
malunion, Volkmann’s ischemic contracture, nerve injury,
arterial injury, skin slough, heterotopic bone formation , and
stiffness of elbow. The management of displaced
supracondylar fracture of the elbow is one of the most
difficult of the many fractures seen in children. The purpose
of the study was to evaluate the anatomical and functional
results of treatment of supracondylar fractures of humerus
with closed reduction and percutaneous ‘K’ wire fixation as
a day care procedure and record associated complications,
thus decreasing the cost of treating these fractures and
hospitalization. Methods: Fifty displaced closed extension
type supracondylar fractures (Gartland’s type III) of the
humerus in children were treated by closed reduction and
percutaneous fixation with Kirschner wires. All the patients
selected for this study had been treated in a day care unit and
were discharged in the same evening and followed up at 3
and 6 weeks and 3 months. Open fractures, fractures with
neurovascular complications and children older than 15 yrs
were excluded. The final results were evaluated by Flynn’s
criteria. Results: The majority (72%), of the patients had
fracture displaced posteomedially, Fourty one of the fifty
patients had satisfactory results. The majority of the patients
were male, and the average age was 8-9 years. Conclusion:
Percutaneous fixation of supracondylar humerus done as a
day care procedure is an acceptable modality of treatment
and reduces the duration of hospital stay for the patient.Key WordsSupracondylar humerus, K-wire fixation, day care procedure
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