Distal tibial giant cell tumour treated with curettage and stabilisation with an Ilizarov frame

Giant cell tumor of the distal tibia: Report of a rare case

“…On conventional radiographs this tumor typically presents as a purely lytic eccentric lesion, with expansion and thinning of the cortex. Periosteal reaction is usually absent [1,3,7,17]. Campanacci et al classified GCTB in three grades: grade 1 is static form with minimal involvement of the cortex; grade 2 presents with thinned and expanded cortex and in grade 3 the lesion penetrates the cortex and has a soft tissue component [6].…”

“…Various limb salvage techniques for the distal tibia have been described in literature: extended curettage with a large window, high speed burring, and filling of the cavity with bone cement or bone graft; resection and ankle arthrodesis; resection and reconstruction with porous tantalum spacer; resection of the tumor followed by placement of an external fixator for segmental bone transport and endoprosthetic replacement [7,[20][21][22][23][24][25]. Autografts and allografts are associated with high rates of healing when used for arthrodesis.…”

“…Autografts and allografts are associated with high rates of healing when used for arthrodesis. In most cases, arthrodesis of the ankle joint provides excellent stability of the ankle and very good functional outcome [7]. However, due to the high pressure in the ankle joint after resection of the distal tibia and arthrodesis of the ankle, the allograft could collapse or fracture.…”

“…It accounts for about 5% of all primary bone tumors in adults and predominantly occurs in the third and fourth decades of life with a slight predilection for females [1,3,5]. Involvement of the foot and ankle is rare and comprises less than 4% of all GCTBs [7]. Lesions with this localization are known to be unpredictable in their behaviour [8].…”

Case of Recurrence of 8 years back operated case of benign Giant Cell Tumor of the proximal Tibia with malignant fulminating mass over upper one third of leg

“…The most common locations, in decreasing order, are the distal femur, the proximal tibia, the distal radius, and the sacrum [8] . Involvement of the foot and ankle is rare and comprises <4% of all giant cell tumors (GCT) [9] . We present this of GCT in the proximal tibia recurring after treatment which was treated successfully with no signs of recurrence this time with amputation.…”