title: Intramedullary rod fixation of fibrous dysplasia without use of bisphosphonates.
abstract: OBJECTIVE
  Controversy exists regarding approach to treatment of pediatric patients with fibrous dysplasia.
  
  
  METHODS
  We retrospectively reviewed medical records of seven patients who were treated at our institution for fibrous dysplasia by intramedullary rod fixation without bisphosphonate supplementation.
  
  
  RESULTS
  Seven patients with a total of ten fibrous dysplasia lesion sites surgically treated by intramedullary rod fixation were included. Of these ten lesion sites, eight demonstrated pathologic fracture at the time of fixation. Complete fracture healing was observed in all eight sites, with no incidence of recurrent pathologic fractures examined radiographically. There were no major infections or neurologic deficits, and lesions appeared to stabilize.
  
  
  CONCLUSIONS
  In this series, intramedullary rod fixation proved to be successful in treatment of acute pathologic fracture and incompletely healed fibrous dysplasia lesions. We observed partial resolution of fibrous dysplasia lesions at all ten sites without significant long-term complications. Following treatment, there were no refractures.
  
  
  METHODS
  Level IV, case series.
authors.affiliation: Nationwide Children's Hospital, 700 Children's Drive, A2630, Columbus, OH 43205-2696 USA.
authors.forename: Greg
authors.initials: G
authors.lastname: Gaski
authors.affiliation: Nationwide Children's Hospital, 700 Children's Drive, A2630, Columbus, OH 43205-2696 USA.
authors.forename: Dane
authors.initials: D
authors.lastname: Hansen
authors.affiliation: Nationwide Children's Hospital, 700 Children's Drive, A2630, Columbus, OH 43205-2696 USA.
authors.forename: Leisel M
authors.initials: LM
authors.lastname: Willis
authors.affiliation: Kittitas Valley Orthopedics, Ellensburg, WA USA.
authors.forename: Gary D
authors.initials: GD
authors.lastname: Bos
authors.affiliation: Nationwide Children's Hospital, 700 Children's Drive, A2630, Columbus, OH 43205-2696 USA ; Department of Orthopaedics, The Ohio State University, Columbus, OH USA.
authors.forename: John R
authors.initials: JR
authors.lastname: Kean
keywords: Biphosphonates; Fibrous dyslplasia; Intramedullary fixations; Lesion; Pathologic fracture