Minimally Invasive Tibial Osteotomy and Telescopic Rod Osteosynthesis in Anterior Bowing of Osteofibrous Dysplasia of the Tibia: A Preliminary Study with a Four-Case Report, Avoiding Lesion Resection

Author:

Jing Yanhui1,Zhang Zhiqiang1,Mo Yueqiang1,Wang Dahui1,Wu Chunxing1,Ning Bo1

Affiliation:

1. National children’s medical center & Children’s Hospital of Fudan University

Abstract

Abstract Background: Osteofibrous dysplasia (OFD) occurs most frequently in the tibia and may result in deformity and pathological fracture. Surgical treatment such as curettage or segment excision has been performed but remains controversial due to high complication rates and surgical burden. This study introduces a new method to manage OFD with anterior bowing of the tibia using minimally invasive tibial osteotomy and telescopic rod (TR) osteosynthesis without extensive lesion resection. Methods: A retrospective study of 4 children with OFD and tibia bowing deformity treated with minimally invasive tibial wedge osteotomy and TR fixation between January 2015 and November 2020 was performed. Results including bone healing, complications, function based on MSTS score, and recurrance of deformity were assessed. Results: The median follow-up was 29 months. Radiographs showed the median time for union was 3 months. There were no instances of refracture or recurrence of deformity. The mean post-operative MSTS score was significantly higher than preoperative score. Conclusions: This method avoids large bone defects and reconstructive procedures. It is an effective and minimally invasive approach for managing anterior bowing deformity secondary to OFD while improving function and quality of life. Level of evidence: Level IV; Case Series; Treatment Study.

Publisher

Research Square Platform LLC

Reference18 articles.

1. Angeborene ostitis fibrosa als ursache einer intrauterinen unterschenkelfraktur;Frangenheim P;Arch Klin Chir,1921

2. Osteofibrous dysplasia of the tibia and fibula;Campanacci M;J Bone Joint Surg Am,1981

3. Osteofibrous dysplasia: clinicopathologic study of 80 cases;Park YK;Hum Pathol,1993

4. Osteofifi- brous dysplasia of the tibia. Is there a need for a radical surgical approach?;Lee RS;J Bone Joint Surg Br,2006

5. Does the management of osteofifibrous dysplasia of the tibia and fifibula in children should be tailored to the extent and location of the lesion? A case control study investigating different surgical options;Lu Y;Orthop Traumatol Surg Res

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3