Treatment of Pathological Femoral Fractures Caused by Fibrous Dysplasia Using the Bridging Combination Internal...

Area of Science:

• Orthopedics
• Skeletal Dysplasias
• Trauma Surgery

Background:

• Fibrous dysplasia (FD) is a rare bone disorder.
• Current treatments for FD primarily involve surgery, with limited evidence for pharmacologic agents.
• A standardized surgical protocol for FD is lacking, highlighting the need for effective surgical strategies.

Purpose of the Study:

• To report the successful application of a novel bridging combination internal fixation system.
• To evaluate the efficacy of this system in treating femoral pathological fractures associated with polyostotic fibrous dysplasia (PFD).

Main Methods:

• A case report of a 29-year-old male with PFD presenting with a subtrochanteric left femur fracture.
• Application of a bridging combination internal fixation system.
• Postoperative rehabilitation protocol including functional recovery and progressive weight-bearing exercises.
• Follow-up using Radiographic Union Scale for Hip (RUSH) scores and hip function scores.

Main Results:

• The bridging combination internal fixation system provided stable fixation and was minimally invasive.
• RUSH scores improved significantly from 9 at 1 month to 28 at 6 months post-surgery.
• Hip function score improved from 28 preoperatively to 88 at 6 months post-surgery, indicating satisfactory healing and functional recovery.

Conclusions:

• The novel bridging combination internal fixation system is effective for treating femoral pathological fractures in FD.
• This system offers advantages such as minimal invasiveness, stable fixation, and ease of contouring.
• It is a potentially viable surgical option for managing such fractures in the future.