Author(s): Dr. Nagesh Sherikar, Dr. Vilasagarapu Trilok, Dr. Souradeep Mitra, Dr. Rakshith Chakravarthy HY and Dr. Sachin P Angadi

Abstract: Introduction: Giant cell tumor (GCT) is a benign but locally aggressive tumor that accounts for 4% of all primary bone tumors. The distal radius is the third most common site for GCT, after the distal femur and proximal tibia. Wide excision is one of the treatment options for GCT, but this can create a defect at the distal end of the radius. Giant cell tumors (GCTs) that occur in the distal radius are likely to recur. The treatment of recurrent GCTs in the distal radius is very challenging. We report our clinical experience of using proximal fibular autografts to reconstruct the distal radius after en-bloc excision of the entire distal radius in 21-year-old female patient with recurrent GCT (RGCT) of the distal radius. Case Report: We report a 21-year-old female patient who presented to us with status post op query distal radius GCT. Patient had pain and swelling in right wrist since past 12 months, patient was operated at a different centre 6 months back but the pain had not come down and patient was no able move wrist because of pain which was progressive. We performed imaging and concluded it to be recurrent GCT and treated with excision and reconstruction of distal radius with fibula.Discussion: GCT is a benign but locally aggressive tumor that can recur in the same location or metastasize. The risk of local recurrence is high, and it is usually caused by tumor cells that remain behind after surgery or are implanted in the surgical site. The risk of tumor cell contamination of the surgical site by the instruments used during the surgery is lower. Conclusion: Removing the entire RGCT of the distal radius and reconstructing the bone with a proximal fibular autograft are effective ways to control the tumor locally and preserve wrist function.

DOI: 10.22271/27078345.2023.v5.i2a.168

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