Top

Archives of Orthopaedic and Trauma Surgery

Published in:

01-02-2004 | Case Report

Giant cell tumor of the distal fibula: fifteen-year result after en bloc resection and fibula reconstruction

Authors: Wolfgang Eger, Cornelius Schörle, Günther Zeiler

Published in: Archives of Orthopaedic and Trauma Surgery | Issue 1/2004

Abstract

Introduction

Giant cell tumor of the distal fibula is a very rare condition. The treatment of advanced tumors at this location can be challenging and has been described in the literature only in single cases.

Materials and methods

We report on a patient with a stage III giant cell tumor, according to the classification of Campanacci, of the distal fibula after en bloc resection and distal fibula reconstruction with a long bone graft from the iliac crest in a second procedure. The syndesmosis was reconstructed with a periosteal flap, the capsule and ligaments with local scar tissue.

Results

Fifteen years after the initial treatment the patient is free of local recurrence and demonstrates an excellent clinical outcome without any signs of instability, loss of function or osteoarthritis of the ankle joint.

Conclusion

We suggest the method to be worthwhile for treatment of this uncommon lesion in terms of recurrence and functional outcome.

Babhulkar SS, Pande KC, Babhulkar S (1995) Ankle instability after fibular resection. J Bone Joint Surg [AM] 77-A:258–261

Bini SA, Gill K, Johnston JO (1995) Giant cell tumor of bone. Curettage and cement reconstruction. Clin Orthop 321:245–250PubMed

Campanacci M, Baldini N, Boriani S, Sudanese A (1987) Giant-cell tumor of bone. J Bone Joint Surg [AM] 69-A:106–114

Capanna R, Fabbri N, Bettelli (1990) Currettage of giant cell tumor of bone. The effect of surgical technique and adjuvants on local recurrence rate. Chir Org Mov 75:206

Caplan AI, Elyaderani M, Mochizuki Y, Wakitani S, Goldberg VM (1997) Principles of cartilage repair and regeneration. Clin Orthop 342:254–269PubMed

Casadei R, Ruggieri P, Moscato M, Ferraro A, Picci P (1996) Aneurysmal bone cyst and giant cell tumor of the foot. Foot Ankle Int 17:487–495PubMed

Doga AS, Kulkari SS, Bhosale PB. Distal fibular giant cell tumor (1995) J Postgrad Med 41:83–84

Dreinhöfer KE, Rydholm A, Bauer HC, Kreichbergs A (1995) Giant-cell tumors with fracture at diagnosis. J Bone Joint Surg [BR] 77-B:189–193

Gitelis S, Mallin BA, Piasecki P, Turner F (1993) Intralesional excision compared with en bloc resection for giant-cell tumors of bone. J Bone Joint Surg [AM] 75-A:1648–1654

10.

Goh JCH, Mech AM, Lee EH, Ang EJ, Bayon P, Pho RWH (1992) Biomechanical study on the load-bearing characteristics of the fibula and the effect of fibular resection. Clin Orthop 279:223–228PubMed

11.

Goldenberg RR, Campbell CJ, Bonfiglio M (1970) Giant-cell tumor of bone. J Bone Joint Surg [AM] 52-A:619–664

12.

Labs K, Perka C, Schmidt RG (2001) Treatment of stages 2 and 3 giant-cell tumor. Arch Orthop Trauma Surg 121:83–86CrossRefPubMed

13.

Marcove RC (1977) En-bloc resection for osteogenic sarcoma. Can J Surg 20:521–528PubMed

14.

Martinez JC, Acha JG, Galarraga JIG, Andueza JMS (1993) En-bloc resection of the distal fibula for aneurysmal bone cyst. Acta Orthop Belg 59:87–89

15.

McDonald DJ, Sim FH, McLeod RA, Dahlin DC (1986) Giant-cell tumor of bone. J Bone Joint Surg [AM] 68-A:235–242

16.

O’Donnell RJ, Springfield DS, Motwani HK, Ready JE, Gebhardt MC, Mankin HJ (1994) Recurrence of giant-cell tumors of the long bones after curettage and packing with Cement. J Bone Joint Surg [AM] 76-A:1827–1833

17.

O’Keefe RJ, O’Donnell RJ, Temple HT, Scully SP, Mankin HJ (1995) Giant cell tumor of bone in the foot and ankle. Foot Ankle Int 16:617–623PubMed

18.

Rock M (1990) Curettage of giant cell tumor of bone. Factors influencing local recurrences and metastasis. Chir Org Mov 75:204–205

19.

Sung HW, Kuo DP, Shu WP, Chai YB, Liu CC, Li SM (1982) Giant-cell tumor of bone: Analysis of two hundred and eight cases in Chinese patients. J Bone Joint Surg [AM] 64-A:755–761

20.

Walling AK, Gasser SI. (1994) Soft-tissue and bone tumors about the foot and ankle. Clin Sports Med 13:909–938PubMed

21.

Wülling M, Engels C, Jesse N, Werner M, Delling G, Kaiser E (2001) The nature of giant cell tumor of bone. J Cancer Res Clin Oncol 127:467–474

Title: Giant cell tumor of the distal fibula: fifteen-year result after en bloc resection and fibula reconstruction
Authors: Wolfgang Eger
Cornelius Schörle
Günther Zeiler
Publication date: 01-02-2004
Publisher: Springer-Verlag
Published in: Archives of Orthopaedic and Trauma Surgery / Issue 1/2004
Print ISSN: 0936-8051
Electronic ISSN: 1434-3916
DOI: https://doi.org/10.1007/s00402-003-0562-4

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Giant cell tumor of the distal fibula: fifteen-year result after en bloc resection and fibula reconstruction

Abstract

Introduction

Materials and methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Introduction

Materials and methods

Results

Conclusion

Please log in to get access to this content

Other articles of this Issue 1/2004

Gunshot injury of the proximal femoral physis

Trans-trapezium carpo-metacarpal dislocation of the thumb

Clinical evaluation of ulnar nerve repair at wrist level

Surgical correction of deformities of the distal radius due to fractures in pediatric patients

Intramedullary fixation of pertrochanteric hip fractures with the short AO-ASIF proximal femoral nail

Composite implant of native bovine bone morphogenetic protein (BMP), collagen carrier and biocoral in the treatment of resistant ulnar nonunions: report of five preliminary cases