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Ossifying fibroma.

S B Hahn1, E S Kang, J S Jahng

  • 1Department of Orthopaedic Surgery, Yonsei University College of Medicine, Seoul, Korea.

Yonsei Medical Journal
|December 1, 1991
PubMed
Summary
This summary is machine-generated.

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Wide excision is a safe surgical treatment for pediatric ossifying fibroma (OF) of the tibia and fibula. While recurrence can occur, this method offers the best outcomes for these rare bone tumors.

Area of Science:

  • Orthopedic Surgery
  • Pediatric Oncology
  • Skeletal Dysplasias

Background:

  • Ossifying fibroma (OF) is a rare benign bone tumor that typically affects the long bones, including the tibia and fibula, in children.
  • Also known by various names such as congenital fibrous dysplasia and osteofibrous dysplasia, OF requires effective surgical management.
  • This study reviews surgical outcomes for seven pediatric patients diagnosed with ossifying fibroma.

Observation:

  • Lesions were located in the diaphysis of the tibia or fibula and presented in childhood.
  • Surgical interventions included wide excision with free vascularized fibular graft (five cases), wide resection of the distal fibula (one case), and curettage with bone graft (one case).
  • Recurrence was observed in two patients after wide excision with free vascularized fibular graft and in one patient after curettage and bone graft.

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Findings:

  • Wide excision, with or without a free vascularized fibular graft, is a safe and effective treatment for pediatric ossifying fibroma.
  • Incomplete excision, particularly near the epiphysis, was associated with recurrence.
  • Curettage and bone grafting also demonstrated a risk of recurrence.

Implications:

  • Pediatric patients with ossifying fibroma can achieve favorable outcomes with appropriate surgical techniques, primarily wide excision.
  • Careful surgical planning is crucial to ensure complete tumor removal and minimize the risk of recurrence.
  • Further research into optimizing surgical margins and adjuvant therapies may further improve outcomes for this rare condition.