Preliminary results of curettage and cementation in the treatment of fibrous dysplasia of the proximal radius

Introduction: Fibrous dysplasia (FD)is a benign pathological condition usually observed in the first three decades of life. A single bone may be involved either wholly or partially, or multiple bones may be affected, we aimed to use curettage and cementation as a control method of FDfibrous dysplasi...

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Main Authors: Badr, Ismail Tawfeek, Lekhraj Rampal, Sanjiv Rampal, Shahin, Ahmed
Format: Article
Language:English
Published: Indian Orthopaedic Research Group 2019
Online Access:http://psasir.upm.edu.my/id/eprint/81805/1/Preliminary%20results%20of%20curettage%20and%20cementation%20in%20the%20treatment%20of%20fibrous%20dysplasia%20of%20the%20proximal%20radius.pdf
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author Badr, Ismail Tawfeek
Lekhraj Rampal, Sanjiv Rampal
Shahin, Ahmed
author_facet Badr, Ismail Tawfeek
Lekhraj Rampal, Sanjiv Rampal
Shahin, Ahmed
author_sort Badr, Ismail Tawfeek
collection UPM
description Introduction: Fibrous dysplasia (FD)is a benign pathological condition usually observed in the first three decades of life. A single bone may be involved either wholly or partially, or multiple bones may be affected, we aimed to use curettage and cementation as a control method of FDfibrous dysplasia of the proximal radius. Methods: We describe our finding with the treatment of FDfibrous dysplasia of the proximal radius in five patients(four females and, one male), the mean age of 28.6 years (22 to –39 years). The lesions were in the metaphysis extending to the diaphysis. Persistent pain and pain after pathological fracture were the indications for surgical intervention. We used an extensile approach to expose the lesion then extended curettage using a high-speed burr and filling the cavity with bone cement. Functional outcome and radiological findings were monitored on follow-up visits. Results: The mean follow-up period was 3.2 years (ranged from 2 years to 5 years).There was were no recurrences and no patient sustained a fracture at the end of the filling cement. At the time of the last follow-up, all patients have excellent score(mean 27 points) according to the musculoskeletal tumor society scoring system. Conclusion: Extended curettage and cementation provide a safe and reliable alternative for control of FDfibrous dysplasia of the proximal radius with little morbidity with little risk of recurrence and low incidence of complications.
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spelling upm.eprints-818052020-09-02T06:57:59Z http://psasir.upm.edu.my/id/eprint/81805/ Preliminary results of curettage and cementation in the treatment of fibrous dysplasia of the proximal radius Badr, Ismail Tawfeek Lekhraj Rampal, Sanjiv Rampal Shahin, Ahmed Introduction: Fibrous dysplasia (FD)is a benign pathological condition usually observed in the first three decades of life. A single bone may be involved either wholly or partially, or multiple bones may be affected, we aimed to use curettage and cementation as a control method of FDfibrous dysplasia of the proximal radius. Methods: We describe our finding with the treatment of FDfibrous dysplasia of the proximal radius in five patients(four females and, one male), the mean age of 28.6 years (22 to –39 years). The lesions were in the metaphysis extending to the diaphysis. Persistent pain and pain after pathological fracture were the indications for surgical intervention. We used an extensile approach to expose the lesion then extended curettage using a high-speed burr and filling the cavity with bone cement. Functional outcome and radiological findings were monitored on follow-up visits. Results: The mean follow-up period was 3.2 years (ranged from 2 years to 5 years).There was were no recurrences and no patient sustained a fracture at the end of the filling cement. At the time of the last follow-up, all patients have excellent score(mean 27 points) according to the musculoskeletal tumor society scoring system. Conclusion: Extended curettage and cementation provide a safe and reliable alternative for control of FDfibrous dysplasia of the proximal radius with little morbidity with little risk of recurrence and low incidence of complications. Indian Orthopaedic Research Group 2019 Article PeerReviewed text en http://psasir.upm.edu.my/id/eprint/81805/1/Preliminary%20results%20of%20curettage%20and%20cementation%20in%20the%20treatment%20of%20fibrous%20dysplasia%20of%20the%20proximal%20radius.pdf Badr, Ismail Tawfeek and Lekhraj Rampal, Sanjiv Rampal and Shahin, Ahmed (2019) Preliminary results of curettage and cementation in the treatment of fibrous dysplasia of the proximal radius. Journal of Bone and Soft Tissue Tumors, 5 (1). pp. 13-16. ISSN 2454-5473 https://jbstjournal.com/preliminary-results-of-curettage-and-cementation-in-the-treatment-of-fibrous-dysplasia-of-the-proximal-radius/
spellingShingle Badr, Ismail Tawfeek
Lekhraj Rampal, Sanjiv Rampal
Shahin, Ahmed
Preliminary results of curettage and cementation in the treatment of fibrous dysplasia of the proximal radius
title Preliminary results of curettage and cementation in the treatment of fibrous dysplasia of the proximal radius
title_full Preliminary results of curettage and cementation in the treatment of fibrous dysplasia of the proximal radius
title_fullStr Preliminary results of curettage and cementation in the treatment of fibrous dysplasia of the proximal radius
title_full_unstemmed Preliminary results of curettage and cementation in the treatment of fibrous dysplasia of the proximal radius
title_short Preliminary results of curettage and cementation in the treatment of fibrous dysplasia of the proximal radius
title_sort preliminary results of curettage and cementation in the treatment of fibrous dysplasia of the proximal radius
url http://psasir.upm.edu.my/id/eprint/81805/1/Preliminary%20results%20of%20curettage%20and%20cementation%20in%20the%20treatment%20of%20fibrous%20dysplasia%20of%20the%20proximal%20radius.pdf
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