Reconstruction with Vascular Fibular Graft for a Patient with Recurrent Giant Cell Bone Tumor in Distal Ulna, a Rare Treatment Option

Abstract

Giant cell bone tumors are benign lesions of the bone and they usually behave locally aggressive in the follow ups. The most common location of giant cell bone tumor is the metaphysis of distal femur, proximal tibia, distal radius, and proximal humerus. They rarely metastasize, and surgical methods are prominent in their treatment. Among the surgical treatments, curettage, cementation, and in some selected cases, reconstruction with vascular fibula graft can be applied. In addition to surgical treatments, denosumab treatments have also been put into practice. In this article we discuss a patient undergoing 3 surgeries due to giant bone cell tumor in right distal ulna in the forearm. We are going to discuss a patient that we performed a reconstruction operation with vascular fibula graft who had been operated on for giant cell bone tumor in his right ulna twice and received denosumab treatment and had good postoperative follow-up and functional results.