Article PDF :

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Article type :

Case Report

Author :

Amol Khairnar, Akshay Deshmukh, Sayaji Bhamre, Atul Patil, Harshal Patil, Rakesh Sanivada, Rohit Dipwal, Amol Khairnar, Akshay Deshmukh, Sayaji Bhamre, Atul Patil, Harshal Patil, Rakesh Sanivada, Rohit Dipwal

Volume :

11

Issue :

3

Abstract :

This report discusses a 26-year-old male presenting with swelling over the posterolateral region of the knee. Given that a giant cell tumour is a locally aggressive lesion, the knee joint X-ray reveals a cortical break suggestive of a likely pathological fracture. later, it was diagnosed with GCT of the proximal fibula, emphasizing the surgical decision-making and post-operative outcomes. This case highlights a rare occurrence of a giant cell tumor located in the proximal fibula. The patient underwent the elective surgical procedure with the meticulous dissection of the lateral compartment, followed by the excision of the tumour, done with intraoperative identification and salvage of the peroneal nerve and branches. The surrounding lateral soft tissue structures were meticulously aligned and secured through layered suturing. Intraoperative knee stability was checked. The rehabilitation strategy included guarded weight-bearing and use of a brace. At the five-month and one-year follow-up, clinical evaluation revealed maintained knee stability and full mobility of the ankle and foot. This case exemplifies the importance of individualized surgical planning and highlights how selective standard reconstructive procedures can still yield favourable functional and oncologic outcomes in rare GCT locations.