Treatment of fibrous dysplasia of the proximal femur by means of pedicled iliac crest bone graft: a case report.

Abstract:

:In this report, we present a case of treatment of fibrous dysplasia (FD) of the proximal femur with the pedicled iliac crest bone graft. An 18-year-old patient presented with hip pain and polyostotic dysplasia with involvement of the proximal femur and a history of pathological fracture. The patient was operated on using vascularized bone graft from the iliac crest and osteosynthesis with Dynamic Hip Screw (DHS®). With vascularized bone graft, we found an improvement on X-ray with no reabsorption, and with osteosynthesis, we controlled the pain and prevented pathological fracture and progression of the deformity. Several other studies where the pedicled iliac crest bone graft has been successfully used for the management of defects in the proximal femur (osteonecrosis of the femoral head and pseudarthrosis of the femoral head) can be found in the medical literature. However, the pedicled iliac crest bone graft in a patient with FD of the proximal femur is unique.

journal_name

Microsurgery

journal_title

Microsurgery

authors

Perea-Tortosa D,García-López A,Saura-Sánchez E,Aguirre-Pastor A

doi

10.1002/micr.20830

subject

Has Abstract

pub_date

2011-01-01 00:00:00

pages

56-8

issue

1

eissn

0738-1085

issn

1098-2752

journal_volume

31

pub_type

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