Tratamento da displasia fibrosa utilizando placa angulada

Authors

  • Monica Paschoal Nogueira Hospital do Servidor Estadual de São Paulo
  • William Martins Ferreira Hospital do Servidor Estadual de São Paulo
  • Alessandro Monterroso Felix Hospital do Servidor Estadual de São Paulo
  • Marcos Hajime Tanaka Hospital do Servidor Estadual de São Paulo
  • Tiane Raquel da Silva Dias Hospital do Servidor Estadual de São Paulo
  • Marcello Martins de Souza Hospital do Servidor Estadual de São Paulo
  • Rodrigo Ignacio Zúñiga Aburto Hospital do Servidor Estadual de São Paulo

Keywords:

bone fibrous dysplasia, osteotomy, angled plate

Abstract

This article presents the treatment of a patient with proximal femur fibrous dysplasia with proximal femoral osteotomy and fixation with 130° angled plate in a 19-year-old female patient. Fibrous dysplasia is a pseudo neoplasia, usually caused by a genetic mutation, with no predilection for age group. In children, it is more likely to cause deformities, especially with shepherd’s crook deformity, and is more frequent in the proximal femur. It also presents characteristics similar to aneurysmal bone cyst in both imaging and histopathological examinations. The aim of this paper is to describe the treatment of bone dysplasia with valgus osteotomy in the femur and fixation with 130 ° angled plate.

Downloads

Download data is not yet available.

Author Biographies

Monica Paschoal Nogueira, Hospital do Servidor Estadual de São Paulo

Chefe do Grupo de Ortopedia Infantil e Reconstrução do Serviço de Ortopedia e Traumatologia do HSPE, São Paulo, SP, Brasil

William Martins Ferreira, Hospital do Servidor Estadual de São Paulo

Médico Assistente do Grupo de Ortopedia Infantil e Reconstrução do Serviço de Ortopedia e Traumatologia do HSPE, São Paulo, SP, Brasil

Marcos Hajime Tanaka, Hospital do Servidor Estadual de São Paulo

Chefe do Grupo de Grupo de Oncologia Ortopédica do Serviço de Ortopedia e Traumatologia do HSPE, São Paulo, SP, Brasil

Tiane Raquel da Silva Dias, Hospital do Servidor Estadual de São Paulo

Médico Residente do Grupo de Ortopedia Infantil e Reconstrução do Serviço de Ortopedia e Traumatologia do HSPE, São Paulo, SP, Brasil

Rodrigo Ignacio Zúñiga Aburto, Hospital do Servidor Estadual de São Paulo

Fellow do Grupo de Ortopedia Infantil e Reconstrução do Serviço de Ortopedia e Traumatologia do HSPE, São Paulo, SP, Brasil

References

DiCaprio MR, Enneking WF. Fibrous dysplasia. Pathophysiology, evaluation, and treatment. J Bone Joint Surg Am. 2005;87(8): 1848-64.

Shenker A, Weinstein LS, Sweet DE, Spiegel AM. An activating Gs alpha mutation is present in fibrous dysplasia of bone in the McCune-Albright syndrome. J Clin Endocrinol Metab. 1994;

(3):750-5.

Endres S, Wilke A. Fibrous dysplasia - differential diagnosis of cystic lesions in the proximal femur: a case report. Cases J. 2009;2(1):26.

Enneking WF, Gearen PF. Fibrous dysplasia of the femoral neck. Treatment by cortical bone-grafting. J Bone Joint Surg Am. 1986;68(9):1415-22.

Huvos AG, Higinbotham NL, Miller TR. Bone sarcomas arising in fibrous dysplasia. J Bone Joint Surg Am. 1972;54(5):1047-56.

Lichtenstein L. Polyostotic fibrous dysplasia. Arch Sur 1938; 36:874-98.

Russell LW, Chandler FA. Fibrous dysplasia of bone. J Bone Joint Surg Am. 1950;32(2):323-37.

Guille JT, Kumar SJ, MacEwen GD. Fibrous dysplasia of the proximal femur. Long-term results of curettage and bonegrafting and mechanical realignment. J Bone Joint Surg Am.

;80(5):648-58.

Dheenadhayalan J, Avinash M, Lakhani A, Rajasekaran S. Shepherd’s crook deformity: How to set it straight. A five-step surgical guide. J Orthop Surg (Hong Kong). 2019 Jan-Apr;

(1):2309499019834362.

Li W, Huang X, Ye Z, Yang D, Tao H, Lin N, Yang Z. Valgus osteotomy in combination with dynamic hip screw fixation for fibrous dysplasia with shepherd’s crook deformity. Arch Orthop

Trauma Surg. 2013;133(2):147-52.

Tong Z, Zhang W, Jiao N, Wang K, Chen B, Yang T. Surgical treatment of fibrous dysplasia in the proximal femur. Exp Ther Med. 2013;5(5):1355-1358.

Lane JM, Khan SN, O’Connor WJ, Nydick M, Hommen JP, Schneider R, Tomin E, Marca J, Curtin J. Bisfosphonate therapy in displasia fibrosa. Clin Orthop Relat Res. 2001;(382):6-12.

Wai EK, Davis AM, Griffin A, Bell RS, Wunder JS. Pathologic fractures of the proximal femur secondary to benign boné tumors. Clin Orthop Relat Res. 2001;(393):279-86.

Jung ST, Chung JY, Seo HY, Bae BH, Lim KY. Multiple osteotomies and intramedullary nailing with neck cross-pinning for shepherd’s crook deformity in polyostotic fibrous dysplasia

femurs with a minimum of 2 years follow-up. Acta Orthop. 2006;77(3):469-73.

Freeman B H, Bray E W III, Meyer L C. Multiple osteotomies with Zickel nail fixation for polyostotic fibrous dysplasia involving the proximal part of the femur. J Bone Joint Surg Am.

;69(5):691-8.

O’Sullivan M, Zacharin M. Intramedullary rodding and bisphosphonate treatment of polyostotoc fibrous dysplasia associated with the McCune-Albright syndrome. J Pediatr

Orthop. 2002;22(2):255-60.

Published

2019-01-07

How to Cite

1.
Nogueira MP, Ferreira WM, Felix AM, Tanaka MH, Dias TR da S, Souza MM de, Aburto RIZ. Tratamento da displasia fibrosa utilizando placa angulada. RTO [Internet]. 2019 Jan. 7 [cited 2024 Sep. 19];19(1):17-21. Available from: https://tecnicasemortopedia.com.br/revista/article/view/164

Issue

Section

Artigos