case_images: PMC4719355_01
case_images: Clinical picture showing swelling and radiographs showing expansile lesion with soap bubble appearance.
case_images: JOCR-5-52-g001.jpg
case_images: PMC4719355_01_JOCR-5-52-g001.jpg
case_images: F1
case_images: Anteroposterior and lateral radiographs were taken which showed single epiphyseal expansile lesion with soap bubble appearance. [Fig 1] Computerised tomography scan revealed cortical break medially.
case_images: Distal fibula resected specimen intra operatively. b- fixation of the reversed proximal end of fibula and incorporation into the ankle mortise. c- Post operative radiograph showing good ankle mortice. d-Photomicrograph of the specimen showing multinucleate giant cells suggestive of giant cell tumor
case_images: JOCR-5-52-g002.jpg
case_images: PMC4719355_01_JOCR-5-52-g002.jpg
case_images: F2
case_images: An adequate length of proximal fibula was resected extra periosteally [Fig 2]. Histopathological examination confirmed giant cell tumour. [Fig 2d]. Post operative radiographs were taken [Figs 2c].
case_images: Six month follow up showing good radiological union (a) and clinical photograph showing good dorsiflexion and plantar flexion (b,c). fibula provides the ideal treatment.
case_images: JOCR-5-52-g003.jpg
case_images: PMC4719355_01_JOCR-5-52-g003.jpg
case_images: F3
case_images: Radiographs were repeated after six months [Fig 3]. Patient was followed up and at the end of one year patient had full range of motions with mild restriction of dorsiflexion of the affected ankle [Figs 3].