• J Foot Ankle Surg · Jan 2018

    Case Reports

    Tenosynovial Giant Cell Tumor in the Midfoot Treated With Femoral Head Allograft Reconstruction.

    • Daniel J Fuchs, Paul J Switaj, Terrance D Peabody, and Anish R Kadakia.
    • Orthoapedic Foot and Ankle Surgery Fellow, Department of Orthopaedic Surgery, Baylor University Medical Center, Dallas, TX. Electronic address: dfuchs0011@gmail.com.
    • J Foot Ankle Surg. 2018 Jan 1; 57 (1): 172-178.

    AbstractTenosynovial giant cell tumor (also known as giant cell tumor of tendon sheath or pigmented villonodular synovitis) is a rare soft tissue tumor that arises from the tenosynovium of a tendon sheath or the synovium of a diarthrodial joint. This disease process occurs infrequently in the foot and ankle but can result in significant bone erosion and destructive changes of affected joints. These cases are challenging to treat, because the tumor most commonly presents in young, active patients and can be associated with extensive bone loss. We review a case of tenosynovial giant cell tumor of tendon sheath of the midfoot, which was treated with mass resection, structural femoral head allograft bone grafting, and internal fixation with dorsal plating. The patient had achieved successful bony fusion and acceptable functional outcomes at the final follow-up visit 40 months postoperatively.Copyright © 2017 American College of Foot and Ankle Surgeons. Published by Elsevier Inc. All rights reserved.

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