Functional outcome in surgical fixation of fibrous dysplasia of proximal femur

Authors

  • Nageshwar Rao Kancherla Department of Orthopaedics, Nizam's Institute of Medical Sciences, Punjagutta, Hyderabad, Telangana, India
  • Srikanth Eppakayala Department of Orthopaedics, Nizam's Institute of Medical Sciences, Punjagutta, Hyderabad, Telangana, India
  • C. Nagesh Department of Orthopaedics, Nizam's Institute of Medical Sciences, Punjagutta, Hyderabad, Telangana, India
  • Shravan Peddamadyam Department of Orthopaedics, Nizam's Institute of Medical Sciences, Punjagutta, Hyderabad, Telangana, India
  • Arvind Bodla Department of Orthopaedics, Nizam's Institute of Medical Sciences, Punjagutta, Hyderabad, Telangana, India
  • Maheshwar Lakkireddy Department of Orthopaedics, Nizam's Institute of Medical Sciences, Punjagutta, Hyderabad, Telangana, India

DOI:

https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20220598

Keywords:

Fibrous dysplasia, Benign bone tumour, Deformity of proximal femur, McCune-Albright syndrome

Abstract

Background: Fibrous dysplasia is a rare benign intramedullary fibro-osseous lesion. Surgical management is usually indicated in pathological fractures, symptomatic patients due to pain and due to deformity. The aim of this study was to summarize the functional results and to investigate surgical treatment methods by conducting a retrospective study of patients with fibrous dysplasia (FD) in the proximal femur.

Methods: This study is a retrospective study using patient’s medical records, including analysis of 14 patients with fibrous dysplasia of proximal femur treated at Nizams Institute of Medical Sciences. The primary outcome was success of the procedure according to the Musculoskeletal tumour society score (MSTS). Secondary outcomes, which were assessed at one year and at the end of follow up in terms of revision free survival and change in femoral neck-shaft angle over time.

Results: Analysis of data showed that revision-free survival was 85% after a median follow-up of 2 years. Revision was necessary in one patient for structural failure due to a fracture distal to Dynamic hip screw and other patient due to progressive deformity after being operated with broad DCP. At the end of follow-up 85% of all patients had good walking ability and all patient were pain free.

Conclusions: Symptomatic fibrous dysplasia involving proximal femur needs to be operated to relieve pain due to biomechanical instability, to prevent and treat pathological fractures and to correct deformities.

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Author Biographies

Nageshwar Rao Kancherla, Department of Orthopaedics, Nizam's Institute of Medical Sciences, Punjagutta, Hyderabad, Telangana, India

ASSOCIATE PROFESSOR,DEPARTMENT OF ORTHOPAEDICS,NIZAMS INSTITUTE OF MEDICAL SCIENCES,PANJAGUTTA,HYDERABAD,TELANGANA,INDIA.

Srikanth Eppakayala, Department of Orthopaedics, Nizam's Institute of Medical Sciences, Punjagutta, Hyderabad, Telangana, India

SENIOR RESIDENT,DEPARTMENT OF ORTHOPAEDICS,ALL INDIA INSTITUTE OF MEDICAL SCIENCES,BIBINAGAR,HYDERABAD,TELANGANA,INDIA.

C. Nagesh, Department of Orthopaedics, Nizam's Institute of Medical Sciences, Punjagutta, Hyderabad, Telangana, India

ADDITIONAL PROFESSOR,DEPARTMENT OF ORTHOPAEDICS,NIZAMS INSTITUTE OF MEDICAL SCIENCES,PANJAGUTTA,HYDERABAD,TELANGANA,INDIA.

Shravan Peddamadyam, Department of Orthopaedics, Nizam's Institute of Medical Sciences, Punjagutta, Hyderabad, Telangana, India

ASSISTANT PROFESSOR,DEPARTMENT OF ORTHOPAEDICS,NIZAMS INSTITUTE OF MEDICAL SCIENCES,PANJAGUTTA,HYDERABAD,TELANGANA,INDIA.

Arvind Bodla, Department of Orthopaedics, Nizam's Institute of Medical Sciences, Punjagutta, Hyderabad, Telangana, India

ASSISTANT PROFESSOR,DEPARTMENT OF ORTHOPAEDICS,NIZAMS INSTITUTE OF MEDICAL SCIENCES,PANJAGUTTA,HYDERABAD,TELANGANA,INDIA.

Maheshwar Lakkireddy, Department of Orthopaedics, Nizam's Institute of Medical Sciences, Punjagutta, Hyderabad, Telangana, India

ADDITIONAL PROFESSORDEPARTMENT OF ORTHOPAEDICS,ALL INDIA INSTITUTE OF MEDICAL SCIENCES,BIBINAGAR,HYDERABAD,TELANGANA,INDIA.

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Published

2022-02-25

How to Cite

Kancherla, N. R., Eppakayala, S., Nagesh, C., Peddamadyam, S., Bodla, A., & Lakkireddy, M. (2022). Functional outcome in surgical fixation of fibrous dysplasia of proximal femur. International Journal of Research in Orthopaedics, 8(2), 138–142. https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20220598

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Original Research Articles