[Treatment of femoral fractures associated with fibrous dysplasia: a case report].
Fibrous dysplasia is a rare condition in which bone tissue is replaced by fibro-osseous lesions. A sixteen-year-old male patient with fibrous dysplasia underwent plate fixation for subtrochanteric fracture of the proximal femur. Eighteen months postoperatively, progressive femoral deformity and refracture occurred. Upon failure in three-month conservative treatment, the plate was removed and intramedullary fixation was performed. Control radiographs at the end of 18 months after intramedullary fixation showed complete fracture healing. This case emphasizes that intramedullary fixation should be the first choice to treat femoral fractures and to prevent refractures in patients with fibrous dysplasia.
Ozcan
Ozal
O
Ege Sağlik Hastanesi Ortopedi ve Travmatoloji Kliniği, Turkey. ozalozcan@yahoo.com
Boya
Hakan
H
Baran
Onder
O
Havitçioğlu
Hasan
H
D000293:Adolescent; D001860:Bone Plates; D005264:Femoral Fractures / Q000150:complications / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D005357:Fibrous Dysplasia of Bone / Q000150:complications / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D005594:Fracture Fixation, Intramedullary / Q000379:methods*; D006801:Humans; D008297:Male; D010027:Osteotomy / Q000379:methods; D011859:Radiography