case_images: PMC11723728_01
case_images: Pre-operative X-rays at 1-year post-curettage and plating with bone cement, showing lytic lesion over medial aspect of the right tibia around cement with plate in situ.
case_images: JOCR-15-26-g001.jpg
case_images: PMC11723728_01_JOCR-15-26-g001.jpg
case_images: F1
case_images: Intraoperative images showing dirty granulation tissue around the plate, along with brownish tumor tissue around the cement mantle.
case_images: JOCR-15-26-g002.jpg
case_images: PMC11723728_01_JOCR-15-26-g002.jpg
case_images: F2
case_images: Intraoperatively, dirty granulation tissue was observed around the plate, along with brownish tumor tissue around the cement mantle extending laterally, proximally, and distally (Fig. 2).
case_images: Bone tissue showing mixed population of neoplastic mononuclear cells and non-neoplastic multinucleated gaint cells, further magnification showing focal spindle-shaped tumor cells are arranged in intersecting fascicles oriented in a storiform pattern, admixed with scattered foamy macrophages.
case_images: JOCR-15-26-g003.jpg
case_images: PMC11723728_01_JOCR-15-26-g003.jpg
case_images: F3
case_images: Tissue samples were collected for bacterial culture sensitivity and histopathological analysis (Fig. 3).
case_images: Intraoperative images showing final fixation of plate and bone cement.
case_images: JOCR-15-26-g004.jpg
case_images: PMC11723728_01_JOCR-15-26-g004.jpg
case_images: F4
case_images: The remnant cavity was then filled with gel foam, bone cement mixed with 4 g of vancomycin and 160 mg of gentamycin and later stabilized with a 4.5 locking T-buttress plate on the anteromedial aspect of the proximal tibia (Fig. 4).
case_images: Follow-up X-rays at 1 year and 2 years with no signs of recurrence and osteolysis, with good functional outcome.
case_images: JOCR-15-26-g005.jpg
case_images: PMC11723728_01_JOCR-15-26-g005.jpg
case_images: F5
case_images: The patient was followed at regular intervals for 2 years with no signs of recurrence or infection (Fig. 5).