Abstract
Fibrous dysplasia is a pathological condition, where normal medullary bone is replaced by fibrous tissue and small woven specules of bone. Fibrous dysplasia can occur in epiphysis, metaphysis or diaphysis. Occasionally, biopsy is necessary to establish the diagnosis. We present a review of operative treatment using the Ilizarov technique.
Highlights
The management of tibial fibrous dysplasia in children is curettage or subperiosteal resection to extra periosteal wide resection followed by bone transport
We describe 18 cases of fibrous dysplasia in the tibia; 12 cases were treated by en bloc excision and bone transport, and 6 cases were treated by application of Ilizarov only with corrective osteotomy in the CORA and introducing two 1.5-mm K-wires in the medullary cavity
Age ranged from 4 to14 years. 12 patients were managed by en bloc excision and bone transport, and 6 patients were treated by osteotomy at the true apex of the deformity and introducing the K-wires in the medullary cavity with stable fixation with the Ilizarov device
Summary
The management of tibial fibrous dysplasia in children is curettage or subperiosteal resection to extra periosteal wide resection followed by bone transport. We did osteotomy at the true apex of the deformity and two smooth 1.5-mm K-wires were introduced in the medullary cavity to maintain the axis and to prevent axis deviation. In this situation, the Ilizarov frame was applied with only biocompatible thin wires. We describe 18 cases of fibrous dysplasia in the tibia; 12 cases were treated by en bloc excision and bone transport, and 6 cases were treated by application of Ilizarov only with corrective osteotomy in the CORA and introducing two 1.5-mm K-wires in the medullary cavity
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