Introduction: Giant cell tumor (GCT) is a benign bone tumor but known for its locally aggressive nature and high recurrence rate. Also, it has high rate of complications like pathological fracture, malignant change, pulmonary metastasis.
Case Details: A 32year old male presented with history of pain, swelling and inability to bear weight after a fall. He was previously treated for GCT of distal end femur by intralesional curettage and cementing. X ray showed a recurrent GCT with intra articular pathological fracture. Wide local resection with reconstruction by megaprosthesis was done.
Conclusion: Wide local excision with reconstruction by megaprosthesis offers best solution for a recurrent GCT with intra articular fracture with wide soft tissue involvement.