DOI: 10.36347/sjams.2014.v02i01.0052

Pages: 241-242

Aneurysmal bone cyst involving the lower end of tibia in middle age male is a rare entity. A 37 years male patient came to the outpatient department with a complaint of pain in the lower part of the right leg since two years aggravated since one month. The diagnosis of aneurismal bone cyst/ giant cell tumour of the distal tibia have been made. Patient was treated with curettage and bone grafting using autologous cancellous bone from iliac crest, ipsilateral shaft of fibula and synthetic graft bone, curettage material was sent for histopathological examination and it confirms the diagnosis of aneurysmal bone cyst. Postoperatively the wound healed well by fourteen days and patient got relived form the pain. Radiologically cavity was obliterated by new bony trabeculae at six months. We conclude that aneurismal bone cyst is rare at the lower end of tibia and in middle aged males. Diagnosis is by histopathological examination of the curettage material. In middle aged patients to do limb salvage curettage and bone grafting is the choice of treatment.