Table 1.
Patient results
| Patient | Diagnosis | Age at operation | Fracture site(s) | Index procedure | Type of IM rod | Length of follow-up (years) | Post-op fracture status | Pain | ROM in adjacent joints | Complications |
|---|---|---|---|---|---|---|---|---|---|---|
| 1 | MFD | 6 | L tibial diaphysis | Closed reduction and IM antegrade reamed nailing | 7.5 × 190 mm IM reconstruction nail w/locking screw | 6 | Complete healing | None | Full | Stress fracture at screw head occuring 6 years post-op; screw removed, local bone graft placed in screw and stress fractures sites. Good healing observed at 1 mo post-op |
| 2 | MFD | 7 | L humeral diaphysis | Closed reduction and IM retrograde nailing | Three (3) IM flexible titanium nails | 1 | Complete healing | None | Full | None |
| 3* | PFD | 9 | R tibial diaphysis | Closed reduction and IM antegrade reamed nailing | 9.5 × 230 mm IM reconstruction nail w/locking screw | 5.67 | Complete healing | None | Full | None |
| 11 | R subtrochanteric femur | Open reduction and IM retrograde reamed nailing w/osteotomy and allograft | 13 mm IM reconstruction nail w/locking screws | 4 | Complete healing | None | Full | None | ||
| 4* | PFD | 17 | L radial diaphysis | Closed reduction and IM retrograde nailing | Three (3) 2.0 IM flexible titanium nails | 10 | Complete healing | None | Full | None |
| 17 | L humerus lesion; Incomplete healing of previous fracture | Prophylactic IM retrograde nailing | Two (2) 3.0 mm and two (2) 2.0 mm IM flexible titanium nails | 10 | Complete healing | None | Full | None | ||
| 5* | PFD | 12 | L distal femur | Closed reduction and IM antegrade reamed nailing | 15 × 360 mm IM reconstruction nail w/locking screws | 7.8 | Complete healing | None | Full | Patient demonstrated antalgic gait w/a Trendelenburg limp 14 mo post-op. L leg measured 0.75in shorter than R leg 1.75 yr post-op, underwent epiphysiodesis of R knee. L leg 0.5in shorter than R, 4 years post-op |
| 13 | L tibial lesion; Incomplete healing of previous fracture | Prophylactic IM antegrade reamed nailing | 12 × 285 IM reconstruction nail | 7.25 | Complete healing | None | Full | None | ||
| 6 | PFD | 8 | L proximal femur | Closed reduction and IM retrograde nailing | One (1) 3.5 mm and two (2) 3.0 mm IM flexible titanium nails | 3.5 | Complete healing | None | Full | Knee pain and swelling, nails removed 10.5 months post-op; no pain reported 1.5 months post-removal |
| 7 | PFD | 10 | L distal femur | Closed reduction and IM retrograde nailing | Two (2) 4.0 mm flexible titanium IM nails | 7.75 | Complete healing | None | Full | None |
| Avg: | 11.00 | 6.30 |
MFD monostotic fibrous dysplasia, PFD polyostotic fibrous dysplasia, IM intramedullary
* Patient underwent two operative procedures