A Case of Monostotic Fibrous Dysplasia
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概要
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A case of monostotic fibrous dysplasia which had onset at the age of three and had repeated treatments and relapses was reported.A girl was struck on her leg at the age of three and X-ray examination revealed bony lesion of the right tibia. She was diagnosed osteitis fibrosa and treated by curettage and bone graft. At the age of five she was told relapse of the disease. However, it was left untreated, as she had no subjective complaints. At 9 years old she had swelling and tenderness on her right leg and visited our clinic. Under the diagnosis of monostotic fibrous dysplasia of the right tibia curettage, osteotomy and bone grafting were performed. In consequence the symptoms disappeared. At the age of twelve when she was re-examined recurrent bony involvement again appeared at the distal site of the tibia where bone grafting was previously done. Curettage and bone grafting was again performed. At 37th day following operation, no subjective complaint is present. Each of the repeated operations resulted in satisfactory union of the grafted bone. However, at the peripheral portion of transplantion relapses of the disease were observed at the some time following each operation. Sufficient curettage and bone grafting should be considered. Bone graft was excised from the contralateral side of the fibula at each operation. Excised portion of the fibula showed excellent bony regeneration. Therefore, at each operation the graft was able to be taken from the same site of the fibula. A present, it shows also good process of regeneration following the last operation.
- 西日本整形・災害外科学会の論文