Abstract

Background: Giant Cell Tumour [GCT] is a familiar benign but locally aggressive bone tumour especially around the knee joint. Less than 4% of these tumours are known to affect the ankle joints. But, its biological b ehavior at this rare location is quite unpredictable. Mor eover, restoring the ankle joint functionality following tumour resection is a challenging task Case report: We report a case of Giant Cell Tumour of distal end of left Tibia in a 53 year old male patient. In itially the condition was treated by curettage and bone grafting. But, due to recurrence of the condition within 6 months, he was treated with extended curettage and bone cementation. At One year follow up there is no recu rrence and reasonably good function around the ankle joint is maintained. Conclusions: Primary GCTs have been traditionally treated with curettage of the lesion followed by bone grafts/bone cement. Recurrent cases often require aggressive management. In our case, despite recurrence, e xtended curettage of the lesion was done and the defect was packed with bone cement. This added adjuvant treatment offered good stability and allowed early mob ilization of the ankle joint. Thi s case substantiates the use of bone cement in the treatment of recurrent GCT of di stal Tibia whenever the articular integrity is intact with reasonably good functional outcomes . However, a per iodic follow-up is still recommended to watch-out for late re-recurrences.