PMC4719355_01
Clinical picture showing swelling and radiographs showing expansile lesion with soap bubble appearance.
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PMC4719355_01_JOCR-5-52-g001.jpg
F1
Anteroposterior and lateral radiographs were taken which showed single epiphyseal expansile lesion with soap bubble appearance. [Fig 1] Computerised tomography scan revealed cortical break medially.
Distal fibula resected specimen intra operatively. b- fixation of the reversed proximal end of fibula and incorporation into the ankle mortise. c- Post operative radiograph showing good ankle mortice. d-Photomicrograph of the specimen showing multinucleate giant cells suggestive of giant cell tumor
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PMC4719355_01_JOCR-5-52-g002.jpg
F2
An adequate length of proximal fibula was resected extra periosteally [Fig 2]. Histopathological examination confirmed giant cell tumour. [Fig 2d]. Post operative radiographs were taken [Figs 2c].
Six month follow up showing good radiological union (a) and clinical photograph showing good dorsiflexion and plantar flexion (b,c). fibula provides the ideal treatment.
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PMC4719355_01_JOCR-5-52-g003.jpg
F3
Radiographs were repeated after six months [Fig 3]. Patient was followed up and at the end of one year patient had full range of motions with mild restriction of dorsiflexion of the affected ankle [Figs 3].