Vol. 8, Issue 3, Part A (2024)
Endoprosthetic replacement in benign giant cell tumor of the distal femur: A case report
Author(s):
Dr. Siddaram Patil N, Dr. Sai Vikranth, Dr. Azam and Dr. Rajendra
Abstract:
Giant cell tumors (GCT) of the bone are benign but locally aggressive tumors that most commonly affect the metaphysoepiphyseal region of long bones, particularly the distal femur. Despite being non-malignant, GCT can lead to significant morbidity due to their potential for local recurrence and, in rare cases, pulmonary metastasis. Surgical management of GCT typically involves options ranging from curettage to wide resection, depending on the tumor's aggressiveness and recurrence. This case report details the management of a 58-year-old male patient with a GCT of the distal femur, who presented with progressive knee pain and swelling. Imaging revealed a stage 2 tumor according to the Enneking system, with cortical destruction and joint space involvement. The patient underwent en bloc resection of the tumor followed by reconstruction using a hinge massive prosthesis. Postoperative recovery was favorable, with no evidence of infection, aseptic loosening, or recurrence at the 36-month follow-up. This case highlights the efficacy of endoprosthetic replacement in managing aggressive GCTs of the distal femur, offering a balance between oncologic control and functional limb preservation.
Pages: 13-16 | 199 Views 65 Downloads
How to cite this article:
Dr. Siddaram Patil N, Dr. Sai Vikranth, Dr. Azam and Dr. Rajendra. Endoprosthetic replacement in benign giant cell tumor of the distal femur: A case report. Nat. J. Clin. Orthop. 2024;8(3):13-16. DOI: https://doi.org/10.33545/orthor.2024.v8.i3a.446