Giant cell tumour of talus managed by excision and reconstruction by allogenic talus: A rare case report and a surgical Technique

Journal of Orthopaedic Reports Pub Date : 2024-06-18 DOI:10.1016/j.jorep.2024.100437

Rahul Karn, Anil Regmi, Bishwa Bandhu Niraula, Parshwanath Bondarde, Vikas Olkha, Hawaibam Nongdamba, Vikas Maheshwari, Mohit Dhingra

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Abstract

Background

A giant Cell tumour is a benign primary bone neoplasm that most often occurs in a periarticular location and typically involves the epiphyseal region of long bones. Foot involvement is rare, and isolated involvement of talus is even rarer.

Case presentation

Here we report a case of a Campanacci grade 3 giant cell tumour of talus in an 18-year-old female, treated with en-bloc excision by a single incision and reconstruction by ankle and subtalar arthrodesis by allogenic talus.

Discussion and conclusion

En bloc excision by a single incision and reconstruction by ankle and subtalar arthrodesis is a feasible option in the management of GCT of the talus. Anatomical reconstruction of the talus to fill the defect created and pan talar arthrodesis can be considered as a biological reconstruction method after excising the tumour.

Level of evidence

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通过切除和异种距骨重建治疗的距骨巨细胞瘤：罕见病例报告和手术技巧

背景巨细胞瘤是一种良性原发性骨肿瘤，最常发生在关节周围，通常累及长骨的骺区。病例介绍我们报告了一例 18 岁女性的 Campanacci 3 级距骨巨细胞瘤，患者接受了单切口全切除术，并用同种异体距骨重建踝关节和跗骨下关节。讨论与结论单切口全切除术和踝关节和跗骨下关节重建术是治疗距骨巨细胞瘤的可行方案。对距骨进行解剖重建以填补所造成的缺损，并在切除肿瘤后进行踝关节和胫骨下关节置换术，可被视为一种生物学重建方法。

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来源期刊

Journal of Orthopaedic Reports

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