Surgical Treatment of Femoral Deformities in Polyostotic Fibrous Dysplasia and McCune-Albright Syndrome: A Literature Review

Overview

Journal World J Orthop

Publisher Baishideng Publishing Group

Specialty Orthopedics

Date 2022 Mar 23

PMID 35317251

Authors

Giulio Gorgolini

Alessandro Caterini

Lorenzo Nicotra

Fernando De Maio

Kristian Efremov

Pasquale Farsetti

Affiliations

Soon will be listed here.

Abstract

Background: Surgical correction of femoral deformities in polyostotic fibrous dysplasia (PFD) or McCune-Albright syndrome (MAS), such as coxa vara or shepherd's crook deformity, is a challenge.

Aim: To evaluate the treatment of patients with femoral deformities caused by PDF or MAS treated by osteotomies and stabilized with different methods, by analyzing the most relevant studies on the topic.

Methods: A literature search was performed in Medline database (PubMed). Articles were screened for patients affected by PFD or MAS surgically managed by osteotomies and stabilized with different methods.

Results: The initial search produced 184 studies, with 15 fulfilling the eligibility criteria of our study. Selected articles (1987-2019) included 111 patients overall (136 femurs).

Conclusion: Based on our results, the preferred method to stabilize corrective osteotomies is intramedullary nailing with neck cross pinning. When the deformity is limited to the proximal part of the femur, a screw or blade plate may be used, although there is a high risk of fracture below the plate. When the femur is entirely involved, a two-stage procedure may be considered.

Citing Articles

McCune-Albright Syndrome: A Case From Mauritius.

Seewoolall V Cureus. 2024; 16(11):e72810.

PMID: 39618732 PMC: 11608397. DOI: 10.7759/cureus.72810.

[Fibrous dysplasia].

Waltermann A, Westhoff B Orthopadie (Heidelb). 2024; 53(10):805-816.

PMID: 39235640 DOI: 10.1007/s00132-024-04548-w.

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