Treatment of fibrous dysplasia involving the proximal femur.
Twenty-two patients with fibrous dysplasia in the femoral neck or trochanteric area were treated with curettage and bone grafting with a sliding hip compression screw and plate. Follow-up ranged from 2 to 6 years (average: 4 years). Fourteen patients had monostotic and 8 had polyostotic disease. Four patients had pathologic fractures. Bone grafting included a deep-frozen allogeneic cortical strut and cancellous bone. After implanting the lag screw and cortical strut, the remaining defect space was filled with iliac bone. Postoperatively, all patients had good bone healing and complete incorporation of the implanted graft. There were no recurrences or complications, and functional results were rated as good and excellent.
Shih
H N
HN
Department of Orthopedic Surgery, Chang Gung Memorial Hospital, Chang Gung College of Medicine and Technology, Taoyuan, Taiwan, ROC.
Chen
Y J
YJ
Huang
T J
TJ
Hsu
K Y
KY
Hsu
R W
RW
D000328:Adult; D001863:Bone Screws; D016025:Bone Transplantation / Q000379:methods*; D005260:Female; D005272:Femur Neck / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D005357:Fibrous Dysplasia of Bone / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D005500:Follow-Up Studies; D006621:Hip Joint / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D016059:Range of Motion, Articular; D014057:Tomography, X-Ray Computed; D014184:Transplantation, Homologous; D016896:Treatment Outcome