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

Daniel J. Fuchs*, Paul J. Switaj, Terrance D Peabody, Anish R Kadakia

*Corresponding author for this work

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Tenosynovial 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.

Original languageEnglish (US)
Pages (from-to)172-178
Number of pages7
JournalJournal of Foot and Ankle Surgery
Volume57
Issue number1
DOIs
StatePublished - Jan 1 2018

Fingerprint

Thigh
Allografts
Joints
Pigmented Villonodular Synovitis
Bone and Bones
Bone Transplantation
Synovial Membrane
Ankle
Tendons
Foot
Neoplasms
Giant Cell Tumor of Tendon Sheath

Keywords

  • bone graft
  • dorsal plating
  • giant cell tumor of tendon sheath
  • midfoot
  • pigmented villonodular synovitis
  • tumor

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

Cite this

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title = "Tenosynovial Giant Cell Tumor in the Midfoot Treated With Femoral Head Allograft Reconstruction",
abstract = "Tenosynovial 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.",
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Tenosynovial Giant Cell Tumor in the Midfoot Treated With Femoral Head Allograft Reconstruction. / Fuchs, Daniel J.; Switaj, Paul J.; Peabody, Terrance D; Kadakia, Anish R.

In: Journal of Foot and Ankle Surgery, Vol. 57, No. 1, 01.01.2018, p. 172-178.

Research output: Contribution to journalArticle

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AB - Tenosynovial 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.

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