(A) Anteroposterior radiograph, (B) coronal CT, and (C) three-dimensional CT reconstruction of the right wrist of a 40-year-old man with a recurrent GCT of the distal radius after curettage and PMMA cementation. Wide resection and free vascularized fibula graft distal radius reconstruction were done. (D) Anteroposterior and (E) lateral radiographs of the right wrist show no evidence of local tumor recurrence at 16-year follow-up.