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KMID : 0361620070420050630
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Journal of the Korean Orthopaedic Association
2007 Volume.42 No. 5 p.630 ~ p.635
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Importance of Extraperiosteal Excision in Surgical Treatment of Osteofibrous Dysplasia
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Jung Sung-Taek
Kim Hyun-Jong
Kim Myung-Sun
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Abstract
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Purpose: This study reviewed the outcome of the surgical treatment of osteofibrous dysplasia (OFD) involving the long bones in order to demonstrate the necessity of an extraperiosteal excision.
Materials and Methods: This study was a retrospective review of 10 cases of OFD, who underwent surgical treatment from August 1996 to August 2003. All cases were diagnosed by the final histology. There were 5 males and 5 females with a mean age of 12.4 years (range, 4.2-42.6 years). Seven, 1 and 2 involved the tibia, fibular, and femur, respectively. For surgical treatment, an extraperiosteal excision, subperiosteal excision or curettage and bone grafting was selected. Recurrences and bony union were observed using the serial radiographs. The mean follow-up duration was 4.2 years (range, 2.2-6.6 years).
Results: Six, 1 and 3 patients underwent an extraperiosteal excision, subperiosteal excision, and curettage and bone grafting, respectively. Two patientswho underwent curettage and one patient who underwent subperiosteal excision suffered recurrences. There were two cases of non-union in the extraperiosteal excision group which required bone grafting. There were no infections or pathological fractures.
Conclusion: An extraperiosteal excision for OFD is required in patients with skeletal immaturity, corresponding to the surgical indications.
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KEYWORD
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Osteofibrous dysplasia, Extraperiosteal excision
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