Abstract

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Abstract

title:Functional Outcome after Rotational Vascularized Fibular Graft for GCT Right Proximal Tibia

Author:Alfa Januar, Henry Yurianto, M. Ruksal Saleh

Keywords:GCT proximal tibia, Rotational vascularized fibular graft

Type:Case report

Abstract:"Introduction Giant cell tumors (GCT) are locally aggressive tumors with a high rate of recurrence. Recurrences of GCT in autogenous fibular grafts have been rarely reported and pathological fractures through such grafts are even rarer. Wide excision is the management of choice, but this creates a defect at the proximal end of tibia. The preferred modalities for reconstruction of such a defect include vascularized/non-vascularized bone graft, osteoarticular allografts and custom-made prosthesis. We here present our experience with wide resection and vascularized autogenous fibula grafting for GCT of proximal tibia. Case Presentation We report a male, 40 years old with GCT right proximal tibia and right knee flexion contracture. Methods We performed wide resection followed by rotational vascularized fibular graft to femur, and arthrodesis of knee joint. We evaluated anatomical, functional, radiological outcomes of this patient after treatment. Results After 3.5 years, the patient has good outcome. There is no pain, no recurrence of tumor, the graft is union and become hypertrophy. Patient can walk with full weight bearing now."

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