Isolated intramedullary interlocking nailing for femoral fibrous dysplasia

Volkan Gurkan MD*, Murat Bulbul MD** 

*Dr Lutfi Kirdar Kartal Education & Research Hospital

**Vakif Gureba Education & Research Hospital

Objective: Fibrous dysplasia of the femur is a common problem that can result in progressive deformation, such as shepherd’s crook deformity. There is no standard treatment. Curettage and bone grafting or cortical bone grafting with internal fixation are treatment choices. This study evaluated intramedullary interlocking nailing alone for femoral lesions.

Methods: Six patients (mean age 21.6 years) were evaluated in this study. The mean followup time was 25.2 months. All patients had cephalomedullary nails inserted without grafts and were followed using plain x-rays.

Results: At the last follow-up, all patients were normal. There was no pain or limp. There was no deformity of the femur, such as shepherd’s crook deformity.

Conclusion: Isolated intramedullary nailing without grafting is a safe, cheap, and effective treatment for femoral fibrous dysplasia. This technique can prevent deformity in the proximal femur.