股骨近端大范围骨纤维结构不良合并病理性骨折1例  

Extensive fibrous dysplasia of bone of proximal femur complicated with pathological fracture:a case report

作　　者：马亚龙 宫玉锁[2] 黄康 禄成龙 刘晓婷 康付平 兰垂世 张新龙 Ya-Long MA;Yu-Suo GONG;Kang HUANG;Cheng-Long LU;Xiao-Ting LIU;Fu-Ping KANG;Chui-Shi LAN;Xin-Long ZHANG(Clinical College of Chinese Medicine,Gansu University of Chinese Medicine,Lanzhou 730050,China;The Third Department of Traumatic Orthopedics,Gansu Provincial Hospital of Traditional Chinese Medicine,Lanzhou 730030,China)

机构地区：[1]甘肃中医药大学中医临床学院,兰州730050 [2]甘肃省中医院创伤骨三科,兰州730030

出　　处：《数理医药学杂志》2023年第11期863-867,共5页Journal of Mathematical Medicine

基　　金：甘肃省自然科学基金项目(23JRRA1239)。

摘　　要：骨纤维结构不良(fibrous dysplasia of bone,FD)是一种非遗传性疾病,其特点是纤维和骨组织的肿瘤样增生,目前治疗主要以手术为主。本文报道了1例男性股骨近端大范围FD合并病理性骨折的病例,其FD侵袭范围涉及股骨头、股骨颈、股骨粗隆间及股骨小转子下部近端,经病灶刮除+同种异体腓骨条支撑植骨+打压植骨+锁定接骨板内固定术治疗后,患者下肢生理长度及颈干角恢复,在25个月的随访中,下肢功能活动恢复情况良好,未见患肢疼痛或FD复发。Fibrous dysplasia of bone(FD)is a non-hereditary disease characterized by tumor-like hyperplasia of fibrous and bone tissue,currently treated mainly with surgery.A male case of extensive FD of proximal femur combined with pathological fracture was reported.The scope of FD invasion involved femoral head,femoral neck,intertrochanteric femur and proximal lower trochanter of femur.After treatment with lesion curettage+specially designed channel allogeneic fibula strip support bone grafting+compression bone grafting+locked bone plate internal fixation,the patient’s physiological length of lower limb and trunk angle of neck recovered.At 25 months of follow-up,the patient had a good recovery of functional activity in the lower extremity,with no pain or recurrence of FD observed in the affected limb.

关 键 词：骨纤维结构不良 病理性骨折 股骨近端 手术治疗 

分 类 号：R687.3[医药卫生—骨科学]