Abstract

Aim: To study the management of fibrous dysplasia of proximal femur by internal fixation
without grafting.
Methods: This retrospective study was carried out in the Department of Orthopaedic, IGIMS,
Patna, Bihar, India 17 patients with FD of proximal femur treated by internal fixation only
without grafting, were included in the study. Records of the patients were assessed for the
epidemiologic data, clinical manifestations, pathologic and radiologic investigations, number
and type of surgical procedures, the choice of implant used for fixation, functional outcome,
and complications. Pre- and postoperative plain radio- graph were reviewed; also, CT and
MRI were reviewed when available.
Results: The study included 11 male patients (64.71%) and 6 female patients (35.29%). The
mean age of the patients was 21.74 years. The mean follow-up period was 54.60 months the
mean MSTS score was 28.62 points. Four patients (76.47%) had postoperative complications.
One patient (5.88%) developed mild limping, which required shoe lift of 1 cm. One patient
(5.88%) experienced superficial wound infection, which was managed with antibiotics
efficiently. One patient (5.88%) had residual varus deformity and mild limping, which
required shoe lift of 1 cm. One patient (5.88%) had residual varus deformity and 3 cm limb
length discrepancy, which required also shoe lift.
Conclusion: we concluded that the internal fixation only without grafting has satisfactory
functional outcome that alleviates the patient’s symptoms, improves the limb function, and
prevents future morbidities such as deformities and pathologic fractures