Surgical Treatment of Monostotic Fibrous Dysplasia of the Proximal Part of the Femur

Bahk, Won Jong; Chung, Yang Guk; Sohn, Jong Min; Rhee, Seung Koo; Ok, In Young; Lee, An Hee; Kang, Yong Koo

Abstract

PURPOSE: To clarify the clinical behavior and radiological features and to evaluate the effectiveness of curettage, bone graft and/or internal fixation of monostotic fibrous dysplasia involving the proximal part of the femur without deformity. MATERIALS AND METHOD: We reviewed the medical records and plain radiographs of patients who were proven to have monostotic fibrous dysplasia involving the proximal part of the femur by biopsy and who were treated between January 1994 and December 1998. Among those treated with curettage, bone graft and/or internal fixation, patients were selected for study after minimun of one year had elapsed. Fifteen patients were eligible for this study. RESULT: Although no lesion had completely disappeared at the point of the last follow-up evaluation, clinical results judged by the method described by Guille et al. was satisfactory in all patients.
CONCLUSION
The authors believe that curettage and bone grafting with or without internal fixation is a clinically adequate treatment for monostotic fibrous dysplasia of the proximal part of the femur without deformity. Longer periods of follow-up evaluation is warranted because the treatments are not completely effective in eradicating the lesion despite the satisfactory preliminary clinical result.