LUCKNOW, Aug. 11 -- Surgeons at Sanjay Gandhi Postgraduate Institute of Medical Sciences (SGPGIMS) performed a complex limb-salvage procedure to treat a rare bone tumour that could have severely damaged an elderly patient's wrist and caused permanent disability. The procedure was carried out under the Ayushman Bharat-Pradhan Mantri Jan Arogya Yojana (AB-PMJAY). The patient had a giant cell tumour of the distal radius, a locally aggressive bone tumour that usually affects people aged 20 to 40. Its occurrence in an elderly patient made the case particularly unusual and posed a major surgical challenge. The patient reported progressive pain and swelling around the wrist. Tests revealed an aggressive tumour involving the lower end of the radius. Doctors said that without timely treatment, the tumour could have severely damaged the bone, restricted wrist movement and caused significant disability. Instead of proceeding directly to surgery, the orthopaedic team first administered neoadjuvant denosumab, a targeted therapy used to reduce tumour activity and promote new bone formation around its margins. This helped create better conditions for tumour removal while protecting the surrounding soft tissues. After an adequate response to treatment, the surgeons performed an en-bloc resection, removing the tumour with oncologically safe margins. The procedure left a large gap in the radius, which was reconstructed using a segment of the patient's own fibula harvested from the same leg as an autologous graft. The biological reconstruction restored forearm continuity and wrist stability, allowing the surgeons to preserve the hand and avoid a disabling procedure. The patient recovered well after surgery. The patient regained useful hand function and can now perform routine activities independently. Director SGPGIMS Professor Radha Krishna Dhiman said that the case also highlights the role of Ayushman Bharat-PMJAY in enabling economically vulnerable patients to undergo highly specialised procedures involving targeted therapy, tumour resection and complex biological reconstruction without facing the burden of prohibitive treatment costs. The surgery was performed by the Orthopaedics team at the Apex Trauma Centre, led by Additional Professor Dr Amit Kumar, with Senior Residents Dr Amit Kumar and Dr Utsav. Anaesthesia was managed by Dr Prateek Bias....