Reconstruction of Aggressive Grade 3 Calcaneal Giant Cell Tumour with Femoral Head Allograft: A Case Report
- Author:
Ibrahim M
1
;
Khan Z
1
Author Information
1. Department of Trauma and Orthopedic Surgery, Rehman Medical Institute, Peshawar, Pakistan
- Publication Type:Case Reports
- Keywords:
giant cell tumours;
calcaneus;
bone neoplasms;
limb salvage;
allograft
- From:Malaysian Orthopaedic Journal
2026;20(No. 1):73-
- CountryMalaysia
- Language:English
-
Abstract:
Giant Cell Tumour (GCT) of bone is a benign, locally
aggressive neoplasm. GCT of the foot is rare, comprising of
about 5% of cases of all GCTs. GCT of Calcaneus is
exceedingly rare, comprising of 1.2% of all calcaneal
tumours. Due to its uncommon occurrence at this site,
diagnosis can be delayed. In this report, we present the case
of a Campanacci Grade 3 GCT of calcaneus in a 43-year-old
female patient with 8 months history of worsening pain and
disability. We treated her successfully by resection of Oscalcis and reconstruction with a femoral head allograft and
K-wire fixation, a relatively cheaper and technically lesser
challenging method of reconstruction. Three years’ postsurgery, she remains disease free, and her graft has healed.
She continues to walk independently and remains disease
free clinically and radiologically. We discuss a comparison
with other reported cases where surgeons have opted for
detailed intra-lesional curettage (DILC) and cementoplasty
to fill the defect for a Grade 2 disease, some have even used
a sural for soft tissue coverage with a maximum follow-up of
two years. While in our patient we went for Calcanues
resection and reconstruction with allograft because of a
Grade 3 disease that poses greater risk of local recurrence
with just DILC. Our patient has a three-year follow-up where
she remains disease free
- Full text:2026030911111833912calcaneal-giant-tumour.pdf
