Wide excision and reconstruction with free vascularized fibula for aggressive giant cell tumor of distal 3rd tibia

Giant cell tumor (GCT) at distal end of tibia is relatively a rare site occurrence. We presented our experience with extensive excision and reconstruction for GCT using free vascular double strut/single strut fibula graft. The present case series was conducted on six patients lower who were treated either in index (n=4) or recurrence (n=2) settings. Four male 2 female. mean age 26.5 years. average length bone defect after 7.4 cm. range movement ankle joint up to 70% normal opposite side achieved cases arthrodesis done rest 4 (2 recurrent cases). In treatment, spite difficulty bony due its weight bearing property, vascularized graft has advantages like allows wide tumor, single stage procedure, early capacity young no resorption but thickening.