Acta Orthopaedica et Traumatologica Turcica
Case Report

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

1.

Department of Orthopaedics and Traumatology, Hacettepe University, School of Medicine, Ankara, Turkey

2.

Department of Pathology, Hacettepe University, School of Medicine, Ankara, Turkey

AOTT 2021; 55: 184-188
DOI: 10.5152/j.aott.2021.20080
Read: 1017 Downloads: 177 Published: 06 April 2021

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.

Cite this article as: Bakırcıoğlu S, Yılmaz ET, Kösemehmetoğlu K, Yılmaz G. Excision of fibrous band and application of tension band plating in focal fibrocartilaginous dysplasia: A case report and literature review. Acta Orthop Traumatol Turc 2021; 55(2): 184-8.

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ISSN 1017-995X EISSN 2589-1294