Giant Cell Tumor of Distal Radius Treated with Wide Local Excision and Reconstruction with Ipsilateral Proximal Fibular Autograft – A Follow-Up

Introduction: Giant cell tumour or osteoclastoma is benign, locally aggressive tumor with bone destruction and with malignant potential. It accounts for 5% of all primary bone tumor and occurs in skeletally mature individuals in the age group of 30 to 45 with peak incidence in the 3rd decade. GCT is...

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Main Authors: S Ahilan, J K Giriraj Harshavardhan
Format: Article
Language:English
Published: Indian Orthopaedic Research Group 2025-01-01
Series:Journal of Orthopaedic Case Reports
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Online Access:https://jocr.co.in/wp/2025/01/01/giant-cell-tumor-of-distal-radius-treated-with-wide-local-excision-and-reconstruction-with-ipsilateral-proximal-fibular-autograft-a-follow-up/
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author S Ahilan
J K Giriraj Harshavardhan
author_facet S Ahilan
J K Giriraj Harshavardhan
author_sort S Ahilan
collection DOAJ
description Introduction: Giant cell tumour or osteoclastoma is benign, locally aggressive tumor with bone destruction and with malignant potential. It accounts for 5% of all primary bone tumor and occurs in skeletally mature individuals in the age group of 30 to 45 with peak incidence in the 3rd decade. GCT is more common in females. It is usually a solitary lesion and typically involves epiphysio-metaphyseal region. Common sites involved are Distal end of Femur, proximal end of Tibia, distal end of Radius, upper end of Humerus, lower end of Tibia and other sites are hand,spine and Pelvis. Case Report: A 44 year old male presented with the complaints of pain and swelling over the right wrist for the past 3 months. He was diagnosed as bony giant cell tumor of right distal radius for which right distal radius wide excision was done. Ipsilateral proximal fibular autograft of appropriate length was used to reconstruct the defect. The graft united well with reasonable preservation of range of motion of wrist. Conclusion: Giant cell tumor of distal radius can be managed by wide excision + reconstruction with proximal fibular autograft instead of arthrodesis. Reasonable range of wrist movements can be preserved.
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spelling doaj-art-97c766c48af044dcaba8d804a6737c9c2025-08-20T03:22:19ZengIndian Orthopaedic Research GroupJournal of Orthopaedic Case Reports2250-06852321-38172025-01-01151414510.13107/jocr.2025.v15.i01.5118Giant Cell Tumor of Distal Radius Treated with Wide Local Excision and Reconstruction with Ipsilateral Proximal Fibular Autograft – A Follow-UpS AhilanJ K Giriraj HarshavardhanIntroduction: Giant cell tumour or osteoclastoma is benign, locally aggressive tumor with bone destruction and with malignant potential. It accounts for 5% of all primary bone tumor and occurs in skeletally mature individuals in the age group of 30 to 45 with peak incidence in the 3rd decade. GCT is more common in females. It is usually a solitary lesion and typically involves epiphysio-metaphyseal region. Common sites involved are Distal end of Femur, proximal end of Tibia, distal end of Radius, upper end of Humerus, lower end of Tibia and other sites are hand,spine and Pelvis. Case Report: A 44 year old male presented with the complaints of pain and swelling over the right wrist for the past 3 months. He was diagnosed as bony giant cell tumor of right distal radius for which right distal radius wide excision was done. Ipsilateral proximal fibular autograft of appropriate length was used to reconstruct the defect. The graft united well with reasonable preservation of range of motion of wrist. Conclusion: Giant cell tumor of distal radius can be managed by wide excision + reconstruction with proximal fibular autograft instead of arthrodesis. Reasonable range of wrist movements can be preserved.https://jocr.co.in/wp/2025/01/01/giant-cell-tumor-of-distal-radius-treated-with-wide-local-excision-and-reconstruction-with-ipsilateral-proximal-fibular-autograft-a-follow-up/giant cell tumorexcisional biopsyproximal fibular graftgood functional outcomeasian dynamic compression plate
spellingShingle S Ahilan
J K Giriraj Harshavardhan
Giant Cell Tumor of Distal Radius Treated with Wide Local Excision and Reconstruction with Ipsilateral Proximal Fibular Autograft – A Follow-Up
Journal of Orthopaedic Case Reports
giant cell tumor
excisional biopsy
proximal fibular graft
good functional outcome
asian dynamic compression plate
title Giant Cell Tumor of Distal Radius Treated with Wide Local Excision and Reconstruction with Ipsilateral Proximal Fibular Autograft – A Follow-Up
title_full Giant Cell Tumor of Distal Radius Treated with Wide Local Excision and Reconstruction with Ipsilateral Proximal Fibular Autograft – A Follow-Up
title_fullStr Giant Cell Tumor of Distal Radius Treated with Wide Local Excision and Reconstruction with Ipsilateral Proximal Fibular Autograft – A Follow-Up
title_full_unstemmed Giant Cell Tumor of Distal Radius Treated with Wide Local Excision and Reconstruction with Ipsilateral Proximal Fibular Autograft – A Follow-Up
title_short Giant Cell Tumor of Distal Radius Treated with Wide Local Excision and Reconstruction with Ipsilateral Proximal Fibular Autograft – A Follow-Up
title_sort giant cell tumor of distal radius treated with wide local excision and reconstruction with ipsilateral proximal fibular autograft a follow up
topic giant cell tumor
excisional biopsy
proximal fibular graft
good functional outcome
asian dynamic compression plate
url https://jocr.co.in/wp/2025/01/01/giant-cell-tumor-of-distal-radius-treated-with-wide-local-excision-and-reconstruction-with-ipsilateral-proximal-fibular-autograft-a-follow-up/
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AT jkgirirajharshavardhan giantcelltumorofdistalradiustreatedwithwidelocalexcisionandreconstructionwithipsilateralproximalfibularautograftafollowup