Santori F S, Manili M, Falez F, Mattioli U
Istituto di Clinica Ortopedica e Traumatologica, Università di Roma La Sapienza.
Arch Putti Chir Organi Mov. 1990;38(2):388-93.
Fibrous dysplasia generally leads to skeletal deformity over time, particularly when the lower extremities are affected. The authors describe their experience in this field, proposing mainly preventive treatment of progressive deformities and pathological fractures. They prefer intramedullary nailing, which by strengthening the affected bone allows free and early mobilization of the limb. Moreover, full weight-bearing prevents the onset of "ex non usu" osteoporosis, which is quite often responsible for pathological fractures.
骨纤维发育不良通常会随着时间的推移导致骨骼畸形,尤其是当下肢受到影响时。作者描述了他们在这一领域的经验,主要提出对进行性畸形和病理性骨折的预防性治疗。他们更倾向于髓内钉固定,通过加强患骨,可使肢体自由并早期活动。此外,完全负重可预防“废用性”骨质疏松的发生,而这种骨质疏松常常是病理性骨折的原因。