다발성 섬유성 골이형성증 변형에 대한 나사못 맞물림 골수정을 이용한 치료

Treatment of Deformity in Polyostotic Fibrous Dysplasia Using Interlocking Intramedullary Nailing

  • 이광석 (고려대학교 의과대학 정형외과학교실) ;
  • 오종건 (고려대학교 의과대학 정형외과학교실) ;
  • 구자성 (고려대학교 의과대학 정형외과학교실)
  • Lee, Kwang-Suk (Department of Orthopaedic Surgery, College of Medicine, Korea University) ;
  • Oh, Jong-Keon (Department of Orthopaedic Surgery, College of Medicine, Korea University) ;
  • Koo, Ja-Seong (Department of Orthopaedic Surgery, College of Medicine, Korea University)
  • 발행 : 1995.11.30

초록

The fibrous dysplasia is a progressive and disabling condition that lead to deformity, especially weight bearing bones. The morbidity that is associated with the polyostotic fibrous dysplasia is the recurrent fracture and deformity. Various methods of treatment had been failed to control this problem. We used osteotomy and reconstruction nailing for polyostotic fibrous dysplasia occured in the proximal part of right femur with varus deformity and reconstruction nailing in left femur without osteotomy, and interlocking intramedullary nailing in right tibia to prevent pathologic fracture. These methods brought a good result of bone union and full weight bearing ambulation after 1 year and 6 month follow up. We think these methods are useful methods to control refracture and deformity, so we reported this case with bibliographic reviews.

키워드