Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_

Poster
Topic: Tumours
Abstract number: 25123
LOWER END TIBIA GIANT CELL TUMOUR TREATED BY MODIFICATION OF
BLAIR FUSION : A CASE REPORT OF TWO CASES.
Mandar AGASHE, Vivek SHETTY
P.D.Hinduja National Hospital and Research Centre, Mumbai (INDIA)
Aggressive juxta-articular giant cell tumours of the distal tibia are quite rare and
present a great challenge to the average orthopaedic surgeon. We present the result
after resection arthrodesis with ankle fusion with a modification of Blairs method in
two patients with giant cell tumours of the lower end of tibia. In both these patients,
tibio-talar fusion was achieved using the osteotomised anterior cortex of the tibia and
the grooved superior surface of the talus. Fibula was used to augment the graft. Both
the patients had good functional outcome with this mode of treatment and there was
no recurrence till the last follow-up after nine years and one year
respectively.Reconstruction after excision of tumours of the lower end of the tibia has
also been a difficult proposition with literature varying from fibula grafting to iliac bone
grafting and to cementing. This method of using the anterior cortex of tibia for
reconstruction has proved to be a relatively easy, cost-effective and less timeconsuming
method of achieving tibio-talar fusion, though a larger number of patients
may be needed to adequately prove its efficacy.
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