Surgical treatment of femoral deformities in polyostotic fibrous dysplasia and McCune-Albright syndrome:A literature review  

作　　者：Giulio Gorgolini Alessandro Caterini Lorenzo Nicotra Fernando De Maio Kristian Efremov Pasquale Farsetti 

机构地区：[1]Department of Clinical Science and Translational Medicine,University of Rome Tor Vergata,Section of Orthopaedics and Traumatology,Tor Vergata Hospital,Rome 00133,Italy

出　　处：《World Journal of Orthopedics》2022年第3期329-338,共10页世界骨科杂志（英文版）

摘　　要：BACKGROUND Surgical correction of femoral deformities in polyostotic fibrous dysplasia(PFD)or McCune-Albright syndrome(MAS),such as coxa vara or shepherd’s crook deformity,is a challenge.AIM To evaluate the treatment of patients with femoral deformities caused by PDF or MAS treated by osteotomies and stabilized with different methods,by analyzing the most relevant studies on the topic.METHODS A literature search was performed in Medline database(PubMed).Articles were screened for patients affected by PFD or MAS surgically managed by osteotomies and stabilized with different methods.RESULTS The initial search produced 184 studies,with 15 fulfilling the eligibility criteria of our study.Selected articles(1987-2019)included 111 patients overall(136 femurs).CONCLUSION Based on our results,the preferred method to stabilize corrective osteotomies is intramedullary nailing with neck cross pinning.When the deformity is limited to the proximal part of the femur,a screw or blade plate may be used,although there is a high risk of fracture below the plate.When the femur is entirely involved,a two-stage procedure may be considered.

关 键 词：Polyostotic fibrous dysplasia McCune-Albright syndrome Coxa vara Shepherd’s crook deformity Femoral osteotomy Intramedullary nailing 

分 类 号：R687.3[医药卫生—骨科学]