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[Pathological fracture in osteofibrous dysplasia]
R Wirbel1, M Maier, W Mutschler
1Klinik für Unfallchirurgie, St.-Elisabeth-Krankenhaus, Friedrich Ebert-Strasse 59, 56564 Neuwied.
Der Unfallchirurg
|June 21, 2001
Summary
Osteofibrous dysplasia Campanacci, a rare bone lesion, can cause pathologic fractures in children. Elastic intramedullary nailing effectively treated a tibial fracture in a young girl, allowing healing and implant removal.
Area of Science:
- Orthopedics
- Pediatric Oncology
- Radiology
Background:
- Osteofibrous dysplasia Campanacci is a rare, benign tumor-like lesion primarily affecting the tibia.
- Treatment options for osteofibrous dysplasia remain varied, with limited established protocols.
Observation:
- A rare case of a 4 1/2-year-old girl with osteofibrous dysplasia Campanacci presented with a pathologic fracture of the tibia shaft.
- Radiological diagnosis was confirmed via biopsy during surgical intervention.
Findings:
- The tibial fracture was successfully stabilized using intramedullary nailing with elastic titanium rods.
- Complete healing of both the fracture and the osteofibrous dysplasia lesion was achieved after ten months.
Implications:
- This case highlights elastic intramedullary nailing as a viable treatment for pathologic fractures associated with osteofibrous dysplasia in pediatric patients.
- Further literature review supports discussion of treatment modalities and differential diagnoses for this rare condition.