Management of 5th Metatarsal Giant Cell Tumor By Wide Local Excision And Reconstruction With Non-Vascular Hemifibular Autograft – 2 Year Follow-Up – a Case Report

Introduction: Giant cell tumor (GCT) arising in the small bones of the feet is a rare entity, often presenting diagnostic and therapeutic challenges due to local aggression and the need to preserve foot architecture. This report details the case of a 27-year-old female diagnosed with a GCT of the left fifth metatarsal. Case Report: This particular patient was managed with en masse resection of the fifth metatarsal followed by reconstruction using a non-vascularized autologous hemifibular strut graft fixed with K-wire. The patient demonstrated good clinical and radiographic fusion at 6 months and excellent functional recovery at 2-year follow-up. Conclusion: GCT of the metatarsal has been managed with vascularized bone graft, which is technically difficult. We could achieve good results with a non-vascular hemifibular graft, confirming this as a viable method for managing rare GCTs in critical load-bearing locations.