An 18years old male patient had undergone surgery for a giant cell tumour upper end of the right radius in Jan 2007. The tumour recurred within two months. Patient took alternative methods of treatment including indigenous medicines for the condition; all these failed and the patient was advised an above elbow amputation. By Sep 2008 the tumour had grown to a 14”x11”x11” swelling in the forearm extending to the distal arm with neurovascular involvement. A total resection of the tumour was done; vascular continuity of the brachial to the ulnar artery was done with a vein graft to salvage the limb. In 2012 tendon transfer was done to restore function to the wrist. Now there is no recurrence of the tumour and the patient has a fully functional limb.