Turn down distal femoral autograft in proximal tibia defect reconstruction - a case report.pdf

Abstract

Giant cell tumor, a benign growth with
aggressive attributes with potential for
both local invasion and recurrence often
affects the proximal tibia with
attendant bone expansion, destruction
and invasion of the articular margin. I
present a 42 year old woman who came
in with a history of a two year old mass
involving the right proximal tibia, and a
week history of bleeding from an
incision scar on the proximal tibia. X-ray
/ histopathological findings revealed an
aggressive giant cell tumor with a
breach of the posterior cortex of the
proximal tibia. The patient was
counselled for surgery, and
subsequently had a resection of the
entire proximal tibia in the first surgery;
and a turn down autograft of the distal
femur with arthrodesis of the knee joint
done in the second surgery. On follow
up for one year, there were no signs of
tumor recurrence and patient could
ambulate comfortably with a walking
stick.