En-Bloc Excision and Autogenous Fibular Reconstruction for Giant Cell Tumor of Distal Radius in a Developing Country: Lessons Learned.

Giant cell tumors (GCT) are rare, locally aggressive tumors with a high rate of recurrence after treatment. Most tumors occur around the knee joint, but the distal radius is the most common location in the upper limb. While several treatment options have been proposed; management remains controversial. We present the first two cases of GCT of the distal radius treated with en-bloc resection and autogenous fibula grafting at our institution. The challenges that we encountered and the lessons learned from these initial cases are discussed, with the aim of guiding other surgeons who may need to manage similar cases in low-resource settings.