Giant cell tumor of the first metatarsal bone en bloc resection with autogenous middle fibular strut graft.

Giant cell tumors of bone are tumors of somewhat obscure origin. Clinically, they often do not present until late in their development. Radiographically, they can appear quite aggressive. However, most are intermediate-type lesions. Curettage has shown a tendency toward recurrence with en bloc resection becoming more popular when located in a long bone. The following is a brief review and a case report of an aggressive giant cell tumor of the first metatarsal. An en bloc resection of the proximal two-thirds of the metatarsal with an autogenous middle fibular strut graft is presented.