Novel femoral head allograft reconstruction technique of giant cell tumor of the bone in the mid-foot: a case report

Jason Rahimzadeh; Rohan Singh; Dustin Biron; Ashok Para; Joseph Ippolito; Sheldon Lin; Joseph Benevenia

doi:10.18203/issn.2455-4510.IntJResOrthop20260520

Authors

Jason Rahimzadeh Department of Orthopaedic Surgery, Rutgers New Jersey Medical School, Newark, United States of America
Rohan Singh Department of Orthopaedic Surgery, Rutgers New Jersey Medical School, Newark, United States of America
Dustin Biron Department of Orthopaedic Surgery, Rutgers New Jersey Medical School, Newark, United States of America
Ashok Para Department of Orthopaedic Surgery, Rutgers New Jersey Medical School, Newark, United States of America
Joseph Ippolito Department of Orthopaedic Surgery, Rutgers New Jersey Medical School, Newark, United States of America
Sheldon Lin Department of Orthopaedic Surgery, Rutgers New Jersey Medical School, Newark, United States of America
Joseph Benevenia Department of Orthopaedic Surgery, Rutgers New Jersey Medical School, Newark, United States of America

DOI:

https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20260520

Keywords:

Giant cell tumor of bone, Midfoot reconstruction, Femoral head allograft, Cement mold technique, Foot and ankle oncology

Abstract

An 83-year-old female presented with seven months of right medial foot swelling. Imaging revealed a lesion of the medial and middle cuneiforms with extension into the 1^st and 2^nd metatarsals. Biopsy suggested giant cell tumor of bone. She underwent wide excision, argon beam adjuvant, and reconstruction with a custom-molded femoral head allograft and midfoot arthrodesis. At one-year follow-up, she was pain-free, weight-bearing, and demonstrated fusion without recurrence. This case highlights a novel cement-mold technique to optimize graft fit, introducing a reconstructive strategy that maintains midfoot function despite extensive resection.

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