Extended curettage and reconstruction with proximal fibula for treating giant cell tumor of lateral femoral condyle: A prospective study

Dominic, Kuriakku Puthur; Davis, Dijoe; Aravind, Reghunathannair

doi:10.5455/aces.20170115061337

Cited by 2 publications

(3 citation statements)

References 8 publications

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“…GCT should be well treated as it is a benign tumor with localized aggressiveness. Population aged between 20 and 40 years have a higher incidence, with the distal femur and proximal tibia being the common sites [8][9][10]. In our case, a 55-year-old male was detected with a GCT of the head of the right fibula.…”

Section: Discussionmentioning

confidence: 55%

Giant Cell Tumor of the Proximal Fibula With Common Peroneal Nerve Neuropraxia

Chandanwale¹,

Pundkar²,

Chandanwale³

et al. 2022

Cureus

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Giant cell tumor (GCT) is among the commonest benign tumors and represents 5% of bone neoplasms. It is more common in young adults aged between 20 and 40 years. The distal femur is one of the most common sites, with the proximal tibia and distal radius the next frequently involved site, respectively. Previous research indicates that the tumor is an uncommon occurrence at this given age and location. Surgical management is the primary treatment for GCT universally. Extended curettage with the use of an argon beam cauterizer, a power burr, bone cement, hydrogen peroxide, phenol, liquid nitrogen, and zinc chloride are some of the treatment modalities for GCT. Opting for appropriate surgical treatments plays a crucial role to reduce the rate of recurrence and improve functional and oncological outcomes. In this case study, a 55year-old male was diagnosed with GCT of the head of the right fibula with foot drop. The patient was managed with wide excision of the tumor and anchoring of lateral collateral ligament and biceps femoris to medial tibia condyle followed by postoperative galvanic stimulation for common peroneal nerve neuropraxia and guarded weight-bearing mobilization with bracing for knee joint. After 12 months of follow-up, there is no evidence of recurrence with a stable knee joint and dorsiflexion of the right ankle up to the neutral position.

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Section: Discussionmentioning

confidence: 55%

Giant Cell Tumor of the Proximal Fibula With Common Peroneal Nerve Neuropraxia

Chandanwale¹,

Pundkar²,

Chandanwale³

et al. 2022

Cureus

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“…The incidence of occurrence is higher in adults between 20-40 years of age and more common sites are distal femur and proximal tibia. [1][2][3] In our case, 7 years boy was diagnosed with GCT of proximal fibula. Studies suggested that both age and location of tumor is the rare condition.…”

Section: Discussionmentioning

confidence: 67%

“…The incidence of occurrence lies between age 20 to 40 years but rare in children. [1][2][3] The common sites for GCT in long bone are distal femur and proximal tibia. [4][5] Literatures showed that GCT in the immature skeleton varies from 1.8% to 10.6%.6 A retrospective study conducted in GCT by Strom et.al in Oslo, Norway from 1984-2015 found that out of 154 patients 89% were more than 15 years.…”

Section: Introductionmentioning

confidence: 99%

A Case Report of Giant Cell Tumor of Proximal Fibula in Children

et al. 2020

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Giant cell tumour (GCT) is histopathologically benign tumor of long bone particularly in distal femur and the proximal tibia. It commonly occurs in adults of age 20-40 years but rare in children. GCT is considered to be locally aggressive tumor and tendency of recurrence is higher even after surgery. The clinical features are nonspecific, the principle symptoms are pain, swelling and limiting adjacent joint movements. Diagnosis is based on the radiographic appearance and histopathological findings .In our case X-ray showed ill defined lytic lesion on proximal fibula with cortical thinning and MRI finding revealed expansile lyticlesion in meta-epiphysis of right fibula 16×16×28mm adjacent to growth plate with fluid level. The sclerotic rim appears hypo intense on T1 & hyper intense on T2. Core needle biopsy showed giant cell tumor on proximal fibula. Considering the risk of recurrence wide local excision was done. Management of GCT of proximal fibula in young patient is critical for preventing recurrence and enhancing functional outcomes by saving adjacent anatomical structure. No evidence of local recurrence and metastasis was found in 24 months of follow up.

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Extended curettage and reconstruction with proximal fibula for treating giant cell tumor of lateral femoral condyle: A prospective study

Cited by 2 publications

References 8 publications

Giant Cell Tumor of the Proximal Fibula With Common Peroneal Nerve Neuropraxia

Giant Cell Tumor of the Proximal Fibula With Common Peroneal Nerve Neuropraxia

A Case Report of Giant Cell Tumor of Proximal Fibula in Children

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