PDF(Pubmed)
Abstract：
UNASSIGNED: Fibrous dysplasia (FD) is a benign skeletal disorder characterized by the replacement of normal bone tissue with disorganized fibrous tissue. Fractures are a significant complication of FD, particularly in the proximal femur, where deformities such as Shepherd\'s crook deformity can increase the risk.
UNASSIGNED: We present a case study of a 44-year-old male with unilateral monostotic FD, Shepherd\'s crook deformity, and a pathological femoral shaft fracture. The initial surgical approach involved valgus osteotomy, dynamic condylar screw (DCS) fixation, and multiple osteotomies of the femoral shaft. However, the patient experienced a refracture and implant failure, necessitating a second surgical intervention with a double-angled DCS and additional fixation. Post-operative follow-up revealed successful bone union and deformity correction, although a limb length discrepancy was noted.
UNASSIGNED: This case highlights the challenges in managing FD-related fractures and the importance of addressing deformities and achieving optimal alignment. Individualized treatment approaches, careful implant selection, and post-operative rehabilitation are crucial for successful outcomes in FD-associated fractures.
UNASSIGNED: We present a case study of a 44-year-old male with unilateral monostotic FD, Shepherd\'s crook deformity, and a pathological femoral shaft fracture. The initial surgical approach involved valgus osteotomy, dynamic condylar screw (DCS) fixation, and multiple osteotomies of the femoral shaft. However, the patient experienced a refracture and implant failure, necessitating a second surgical intervention with a double-angled DCS and additional fixation. Post-operative follow-up revealed successful bone union and deformity correction, although a limb length discrepancy was noted.
UNASSIGNED: This case highlights the challenges in managing FD-related fractures and the importance of addressing deformities and achieving optimal alignment. Individualized treatment approaches, careful implant selection, and post-operative rehabilitation are crucial for successful outcomes in FD-associated fractures.
摘要：
■纤维发育不良（FD）是一种良性骨骼疾病，其特征是用杂乱无章的纤维组织代替正常骨组织。骨折是FD的重要并发症,特别是在股骨近端，如牧羊人的弯曲畸形会增加风险。
■我们提供了一个44岁男性单侧单骨FD的案例研究，牧羊人的弯曲畸形，和病理性股骨干骨折。最初的手术方法包括外翻截骨术，动态髁螺钉(DCS)固定,股骨干多处截骨术。然而,患者经历了再骨折和植入失败，需要采用双角度DCS和额外固定的第二次手术干预。术后随访显示骨愈合和畸形矫正成功，尽管发现了肢体长度差异。
■此案例突出了管理FD相关骨折的挑战以及解决畸形和实现最佳对齐的重要性。个性化治疗方法，仔细选择植入物，术后康复对于FD相关骨折的成功结局至关重要。
■我们提供了一个44岁男性单侧单骨FD的案例研究，牧羊人的弯曲畸形，和病理性股骨干骨折。最初的手术方法包括外翻截骨术，动态髁螺钉(DCS)固定,股骨干多处截骨术。然而,患者经历了再骨折和植入失败，需要采用双角度DCS和额外固定的第二次手术干预。术后随访显示骨愈合和畸形矫正成功，尽管发现了肢体长度差异。
■此案例突出了管理FD相关骨折的挑战以及解决畸形和实现最佳对齐的重要性。个性化治疗方法，仔细选择植入物，术后康复对于FD相关骨折的成功结局至关重要。
