Intramedullary nailing for fibrous dysplasia of lower limbs

Zhang,Xiaoqi; Shang,Xifu; Wang,Yaofei; He,Rui; Shi,Guoguang

doi:10.3892/ol.2012.752

September 2012 Volume 4 Issue 3

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September 2012 Volume 4 Issue 3

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Article

Intramedullary nailing for fibrous dysplasia of lower limbs

Authors:
- Xiaoqi Zhang
- Xifu Shang
- Yaofei Wang
- Rui He
- Guoguang Shi
View Affiliations / Copyright

Affiliations: Department of Orthopedic Surgery, Anhui Provincial Hospital Affiliated to Anhui Medical University, Hefei, Anhui 230001, P.R. China
Pages: 524-528
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Published online on: June 11, 2012

https://doi.org/10.3892/ol.2012.752
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Abstract

Fibrous dysplasia (FD) of the bone is rare and self-limiting. However, lesion expansion may occur, causing pain, deformity and pathological fracture, in which case surgery is occasionally required. Indicators of FD have not been previously described, although there are several surgical procedures reported (curettage, curettage and graft, and internal fixation). In this study we discuss whether intramedullary nailing of these lesions could result in more favorable outcomes in correcting deformities, including the prevention of secondary fractures and maintenance of the bone, compared to other internal fixation methods. A total of 39 patients with FD of the bone treated with intramedullary nailing were retrospectively analyzed. The surgical procedures involved curettage, grafting and intramedullary nailing. No infection, thromboembolism or other notable complications occurred. The patients resumed full activities of daily living. At the last follow-up, 33 patients presented no pain and seven patients had occasional mild pain. The clinical score according to the modified criteria of Guille improved from an average of 4.4 points prior to surgery to an average of 8 points following surgery. The neck shaft angle of the femur improved from an average of 90˚ prior to surgery to 125˚ following surgery. Intramedullary nailing may be used to correct deformity and prevent pain and refracture in FD of the bone of the lower limbs with large lesions, pathological fracture or deformities. All patients were allowed full athletic recovery following surgery.

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Journals

International Journal of Molecular Medicine

International Journal of Oncology

Molecular Medicine Reports

Oncology Reports

Experimental and Therapeutic Medicine

Oncology Letters

Biomedical Reports

Molecular and Clinical Oncology

World Academy of Sciences Journal

International Journal of Functional Nutrition

International Journal of Epigenetics

Medicine International

Intramedullary nailing for fibrous dysplasia of lower limbs

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