Giant cell tumors are locally aggressive tumors with high rate of recurrence. Recurrences of GCT in autogenous fibular grafts have been rarely reported and pathological fractures through such grafts are even rarer. Wide excision is the management of choice, but this creates a defect at bone. The preferred modalities for the defect reconstruction include vascularized/non-vascularized bone graft, osteoarticular allografts and custom-made prosthesis. We present our experience with wide resection and vascularized autogenous fibula grafting for GCT of proximal humerus.
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