The use of custom-made bone struts in giant cell tumor management

Objective. Giant cell tumor (GCT) is a benign but locally aggressive neoplasm that typically affects the epiphyses of long bones. Surgical resection with curettage remains the standard treatment; however, managing lesions in critical anatomical sites poses unique challenges. Methods. This study reports the case of a 20-year-old male diagnosed with GCT located in the femoral neck and head. The patient underwent lesion curettage, application of local adjuvants, and bone grafting, including the placement of a custom-made cephalic screw derived from a bone bank to reinforce Ward’s triangle. The cephalic screw, aligned with force transmission lines, was used to prevent head collapse and iatrogenic fractures due to overload. The patient demonstrated satisfactory postoperative recovery, and long-term follow-up (3 months) revealed excellent bone integration of the screw (already evident at 6 months) and no recurrence of tumor. This bone reconstruction approach represents a valuable option to treat bone tumors. Conclusions. Our experience confirms the efficacy and safety of bone screw implantation using banked bone material in treating GCT of the femur. This approach improves long-term outcomes and enhances patients’ quality of life.