1. Treatment of fibrous dysplasia involving the proximal femur
- Author
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Robert Wen-Wei Hsu, Tsung J Huang, Yeung Jen Chen, Kuo Y Hsu, and Hsin N Shih
- Subjects
Adult ,Male ,medicine.medical_specialty ,medicine.medical_treatment ,Bone Screws ,Bone healing ,Bone grafting ,medicine ,Humans ,Transplantation, Homologous ,Orthopedics and Sports Medicine ,Femur ,Range of Motion, Articular ,Femoral neck ,Bone Transplantation ,business.industry ,Femur Neck ,Fibrous dysplasia ,Fibrous Dysplasia of Bone ,Middle Aged ,musculoskeletal system ,medicine.disease ,Curettage ,Surgery ,surgical procedures, operative ,medicine.anatomical_structure ,Treatment Outcome ,Orthopedic surgery ,Female ,Hip Joint ,business ,Tomography, X-Ray Computed ,Cancellous bone ,Follow-Up Studies - Abstract
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.
- Published
- 1998