Excision of fibrous band and application of tension band plating in focal fibrocartilaginous dysplasia: A case report and literature review

Focal fibrocartilaginous dysplasia (FFCD) is a rare disease that can cause angular deformities of long bones. The common pathologic finding is a thick fibrotic band extending from epiphysis to metaphysis on one side of the bone. The tethering effect of the fibrotic band aroundthe growth plate is thought to be the main etiology for the development and progression of the deformity. FFCD mostly affects the proximaltibia and the distal femur. The literature contains different treatment options. Here, we present the case of a 20-month-old girl with FFCDon the medial side of the distal femur causing varus deformity. Our treatment protocol included excision of the fibrotic band from themedial side and application of a two-hole plate for guided growth on the lateral side of the distal femur. Deformity correction was achievedrapidly with no complications. A literature review is also presented along with pathologic and magnetic resonance imaging findings.

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Acta Orthopaedica et Traumatologica Turcica-Cover
  • ISSN: 1017-995X
  • Başlangıç: 2015
  • Yayıncı: Türk Ortopedi ve Travmatoloji Derneği
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