MANAGEMENT OF GIANT CELL TUMOR OF PROXIMAL TIBIA WITH CURETTAGE AND RECONSTRUCTION BY CEMENTATION AND LOCKING PLATE : A CASE REPORT

Giant cell tumor of bone is the commonest benign bone tumor encountered by an orthopedic surgeon. It is characterized radiographically as a lytic lesion occurring in the ends of bones and has a well-known propensity for local recurrence after surgical treatment (Campanacci et al., 1987). GCT generally occurs in skeletally mature individuals with its peak incidence in third decade of life. Distal femur and proximal tibia are the commonest sites followed by distal radius. Current treatment modalities include a meticulous curettage using high speed burrs and adjuvant therapy along with addition of bone graft or cement to pack the defect has significantly lowered the recurrence rates to less than 10% from 60% reported in the past with curettage alone (Canale et al., 2007). 21 year male presented with pain over right knee since last two years which was insidious in onset and gradually progressive. Biopsy was suggestive of Giant Cell Tumor of Proximal Tibia. We decided to manage the case with intralesional curettage using phenol as an adjuvant and reconstruction of defect by cementation along with locking plate. In cases of GCT, the management depends upon the various factors such as site, age, involvement of the bone, extent of bone involvement and whether there is articular involvement or not. Extra-articular proximal tibia GCT can be managed with intralesional curettage and phenol as an adjuvant. Bone cement plays a dual role as an adjuvant as well as an agent for reconstruction of the defect.