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


BAKIRCIOĞLU S., YILMAZ E. T., KÖSEMEHMETOĞLU K., YILMAZ G.

ACTA ORTHOPAEDICA ET TRAUMATOLOGICA TURCICA, vol.55, no.2, pp.184-188, 2021 (SCI-Expanded) identifier identifier identifier identifier

  • Publication Type: Article / Review
  • Volume: 55 Issue: 2
  • Publication Date: 2021
  • Doi Number: 10.5152/j.aott.2021.20080
  • Journal Name: ACTA ORTHOPAEDICA ET TRAUMATOLOGICA TURCICA
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus, EMBASE, MEDLINE, Directory of Open Access Journals, TR DİZİN (ULAKBİM)
  • Page Numbers: pp.184-188
  • Hacettepe University Affiliated: Yes

Abstract

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 around the growth plate is thought to be the main etiology for the development and progression of the deformity. FFCD mostly affects the proximal tibia and the distal femur. The literature contains different treatment options. Here, we present the case of a 20-month-old girl with FFCD on the medial side of the distal femur causing varus deformity. Our treatment protocol included excision of the fibrotic band from the medial side and application of a two-hole plate for guided growth on the lateral side of the distal femur. Deformity correction was achieved rapidly with no complications. A literature review is also presented along with pathologic and magnetic resonance imaging findings.