Multiple osteotomies with Zickel nail fixation for polyostotic fibrous dysplasia involving the proximal part of the femur.

Abstract

Involvement of the proximal part of the femur by polyostotic fibrous dysplasia is a progressive and disabling condition that leads to deformity. Morbidity is high in terms of recurrent fracture and deformity. Conventional methods of treatment have been ineffective in controlling these problems. The cases of four patients were reviewed to determine the natural history of polyostotic fibrous dysplasia involving the proximal part of the femur. In six femora, multiple osteotomies with fixation using a Zickel nail was utilized to provide definitive control of deformity and recurrent fracture and to allow the patients to return to normal activities.

• Authors: B H Freeman, E W Bray 3rd, L C Meyer
• Journal: The Journal of bone and joint surgery. American volume (J Bone Joint Surg Am) Vol. 69 Issue 5 Pg. 691-8 (Jun 1987) ISSN: 0021-9355 [Print] United States
• PMID: 3597469 (Publication Type: Journal Article)

Topics

• Bone Nails
• Child
• Child, Preschool
• Female
• Femoral Fractures (diagnostic imaging, etiology, surgery)
• Fibrous Dysplasia of Bone (surgery)
• Fibrous Dysplasia, Polyostotic (complications, surgery)
• Follow-Up Studies
• Humans
• Male
• Osteotomy (methods)
• Postoperative Care
• Radiography
• Reoperation