Enneking W F, Gearen P F
J Bone Joint Surg Am. 1986 Dec;68(9):1415-22.
Fibrous dysplasia of the femoral neck is difficult to treat. In a series of fifteen young patients, ten had a monostotic lesion and five, the polyostotic form of the disease. Twelve patients were first seen with a fatigue fracture. Grafts of cortical bone were used. The objectives of relief of pain, union of the fracture, and prevention of deformity were achieved in all fifteen patients. Two patients required a repeat procedure. None of the patients had important deformity of the femoral neck, and none needed an osteotomy.
股骨颈纤维结构不良难以治疗。在一组15名年轻患者中,10例为单骨病变,5例为多骨病变。12例患者初诊时为疲劳性骨折。采用了皮质骨移植。所有15例患者均实现了缓解疼痛、骨折愈合和预防畸形的目标。2例患者需要再次手术。所有患者均未出现严重的股骨颈畸形,也均无需进行截骨术。