Related Experiment Video
Updated: Jul 31, 2026
Use of Human Perivascular Stem Cells for Bone Regeneration
Published on: May 25, 2012
Management of 5th Metatarsal Giant Cell Tumor By Wide Local Excision And Reconstruction With Non-Vascular Hemifibular
Senthil Sailesh1, Cheralathan Senguttuvan2, Singaravadivelu Vaidyanathan3
1Department of Orthopaedics, Government Villuppuram Medical College Hospital, Villupuram, Tamil Nadu, India.
Introduction:
Giant cell tumor (GCT) arising in the small bones of the feet is a rare entity, often presenting diagnostic and therapeutic challenges due to local aggression and the need to preserve foot architecture. This report details the case of a 27-year-old female diagnosed with a GCT of the left fifth metatarsal.
Case Report:
This particular patient was managed with en masse resection of the fifth metatarsal followed by reconstruction using a non-vascularized autologous hemifibular strut graft fixed with K-wire. The patient demonstrated good clinical and radiographic fusion at 6 months and excellent functional recovery at 2-year follow-up.
Conclusion:
GCT of the metatarsal has been managed with vascularized bone graft, which is technically difficult. We could achieve good results with a non-vascular hemifibular graft, confirming this as a viable method for managing rare GCTs in critical load-bearing locations.
