Biological knee joint reconstruction using patella following giant cell tumor excision: a case report

Parag P. Dangi; Jay S. Bothra; Aumkar H. Pandya; Purvi D. Shah; Viren K. Patel; Yashvi S. Patwa

doi:10.18203/issn.2455-4510.IntJResOrthop20243139

Authors

Parag P. Dangi Department of Orthopaedics, SBKS, MI and RC, Waghodia, Gujarat, India
Jay S. Bothra Department of Orthopaedics, SBKS, MI and RC, Waghodia, Gujarat, India
Aumkar H. Pandya Department of Orthopaedics, SBKS, MI and RC, Waghodia, Gujarat, India
Purvi D. Shah Department of Orthopaedics, SBKS, MI and RC, Waghodia, Gujarat, India
Viren K. Patel Department of Orthopaedics, SBKS, MI and RC, Waghodia, Gujarat, India
Yashvi S. Patwa Department of Orthopaedics, SBKS, MI and RC, Waghodia, Gujarat, India

DOI:

https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20243139

Keywords:

Giant cell tumour, Patella, Biological reconstruction of the knee

Abstract

A 20-year-old female patient presented to us with a large expansile swelling over right knee diagnosed clinically and confirmed histopathological and radiologically to be Giant Cell Tumor of upper end of Tibia involving both condyles with a breach in the posterior cortex. In this case report we tried to retain the joint function by biological reconstruction using the Patella after the wide excision of the tumor mass. A radical excision of the upper end of the Tibia was done. The Patella was used as an articular surface supported by ipsilateral Fibula and cortico-cancellous bone chips from the ipsilateral iliac crest as struts and complemented with synthetic bone graft pieces. Thus, the joint was reconstructed biologically. The case was followed for 1 year. The tumor was excised in toto, the knee joint was restored by the Patella and the bone graft struts. The results were discussed in detail.

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