13例胫骨病灶清除灭活植骨术治疗胫骨骨纤维结构不良的临床资料分析

Abstract
Figure/Table
References (21)
Related Citation (15)

Download: PDF (0 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To analyze clinical data of tibial lesion removal and inactivated bone grafting in the treatment of tibial fiber fibrous dysplasia.Methods From January 2009 to December 2017,retropective analysis of the clinical data of 13 patients with fibial fibrous dysplasia (OFD) in Department of Orthopedics,the First Affiliated Hospital of Fujian Medical University,and all patients underwent tibial lesion removal,the posterior wall of the tibia was retained.The remaining bone defect was grafted with allogeneic bone.Results Thirteen patients had postoperative pathological findings suggesting interfibrous dysplasia.Four patients relapsed after initial curettage.Three of them recovered after surgery.And one case was followed up for 5 years after diagnosis of recurrence,and the lesion remained stable.From the analysis of age,9 patients were ≤5 years old,and 4 patients relapsed;4 patients were ＞5 years old,all had no recurrence.From the perspective of surgery approach,7 patients underwent local extra periosteal resection,of which 1 patients relapsed;7 patients underwent local subperiosteal resection,and 3 patients recurred.Six patients had surgical complications,including 3 cases of nonunion,2 cases of osteomyelitis,and 1 case of tibial deformity,all of which were cured after reoperation.It is important to note that in the 7 patients undergoing extra periosteal resection,more postoperative complications occurred (2 patients of which were osteomyelitis and 2 patients were nonunion).Conclusion For patients older than 5 years,extraperiosteally resection is recommended.Allogeneic bone grafting is simple in operation and less invasive,but has more complications.Autologous fibula transplantation may be a better choice.

Key words： Tibia Bone fibrous dysplasia Lesion Resection Bone graft

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	LIANG Fu-de

Cite this article:

LIANG Fu-de. Analysis of clinical data of 13 cases of tibial focus debridement and inactivated bone grafting for treatment of tibial fibrous dysplasia[J]. 中国当代医药, 2020, 27(34): 94-96转100.

URL:

https://www.dangdaiyiyao.com/EN/ OR https://www.dangdaiyiyao.com/EN/Y2020/V27/I34/94

[1]	Westacott D，Kannu P，Stimec J，et al.Osteofibrous Dysplasia of the Tibia in Children：Outcome Without Resection[J].J Pediatr Orthop，2019，39（8）：e614-e621.
[2]	Li D，Li P，Yang J，et al.Extraperiosteal segmental excision for osteofibrous dysplasia of tibia with reconstruction by liquid nitrogen-treated recycled autograft[J].J Orthop Sci，2019，24（2）：342-346.
[3]	Yoshida S，Watanuki M，Hayashi K，et al.Osteofibrous dysplasia arising in the humerus：A case report[J].Rare Tumors，2018，10.
[4]	Exner GU，Von Hochstetter AR，Pfirrmann CWA.Osteofibrous Dysplasia with Rhabdoid Elements in a 38-Year-Old Man with Spontaneous Regression Over Five Years：A Case Report[J].JBJS Case Connect，2018，8（3）：e51.
[5]	Winkler T，Sass FA，Duda GN，et al.A review of biomaterials in bone defect healing，remaining shortcomings and future opportunities for bone tissue engineering：The unsolved challenge[J].Bone Joint Res，2018，7（3）：232-243.
[6]	Ondhia M，Garg N，Sumathi V，et al.Paediatric osteofibrous dysplasia-like adamantinoma with classical radiological findings[J].BMJ Case Rep 10.1136/bcr-2018-224487.
[7]	Nagano H，Jinguji M，Nakajo M，et al.Bilateral Tibial Osteofibrous Dysplasia on 18F-FDG PET/CT[J].Clin Nucl Med，2017，42（8）：e375.
[11]	Most MJ，Sim FH，Inwards CY.Osteofibrous dysplasia and adamantinoma[J].J Am Acad Orthop Surg，2010，18（6）：358-366.
[13]	周治国，沈先涛，陈小亮.自体腓骨移植治疗胫骨骨纤维结构不良[J].骨科，2016，7（2）：90-93.
[15]	齐欣，刘长剑，刘建国.胫骨骨性纤维结构不良的诊断及治疗[J].实用肿瘤杂志，2008，23（5）：446-448.
[16]	佚名.游离腓骨移植重建胫骨骨纤维结构不良病灶切除后骨缺损[J].现代肿瘤医学（5）：338-340.
[17]	Ozaki T，Hamada M，Sugihara S，et al.reatment outcome of osteofibrous dysplasia[J].J Pediatr Orthop B，1998，7（3）：199-202.
[8]	Scholfield DW，Sadozai Z，Ghali C，et al.Does osteofibrous dysplasia progress to adamantinoma and how should they be treated[J].Bone Joint J，2017，99-B（3）：409-416.
[9]	Ide F，Kikuchi K，Kusama K.Osteofibrous Dysplasia Versus Ossifying Fibroma：Semantic Confusion[J].Oral Maxillofac Surg，2017，75（5）：885.
[10]	Veyssiere，AlexisAmbroise，BeatriceTraore，Hamady Chatellier，Hamady，et al.Management of Large Maxillomandibular Osteofibrous Dysplasia as Part of a Humanitarian Mission[J].J Oral Maxillofac Surg，2017，75（2）：436.e1-436.e10.
[12]	Springfield DS，Rosenberg AE，Mankin HJ，et al.Relationship between osteofibrous dysplasia and adamantinoma[J].Clin Orthop Relat Res，1994，309（309）：234-244.
[14]	Lee RS，Weitzel S，Eastwood DM，et al.Osteofibrous dysplasia of the tibia.Is there a need for a radical surgical approach[J].J Bone Joint Surg Br，2006，88（5）：658-664.
[18]	Woong PJ，Cheol L，Ilkyu H，et al.Optimal Treatment of Osteofibrous Dysplasia of the Tibia[J].J Pediatr Orthop，2018，38（7）：E404-E410.
[19]	Park JW，Park JH，Han JW.Fermented Ginseng Extract，BST204，Suppresses Tumorigenesis and Migration of Embryonic Carcinoma through Inhibition of Cancer Stem Cell Properties[J].Molecules，2020，25（14）：3128.
[20]	Poletti B，Carelli L，Lunetta C，et al.Advance care planning and mental capacity in ALS：a current challenge for an unsolved matter[J].Neurol Sci，2020，41（10）：2997-2998.
[21]	Sohn HS，Oh JK.Review of bone graft and bone substitutes with an emphasis on fracture surgeries[J].Biomate Res，2019，14；23：9.