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Verlaufsbeobachtungen operativer Behandlungsverfahren bei Morbus Jaffé-Lichtenstein

  • H.-J. Hesselschwerdt
  • J. Heisel
  • E. Schmitt
Conference paper

Zusammenfassung

Bericht über 28 operativ behandelte Fälle mit M. Jaffé-Lichtenstein (meist lokale Tumorausräumungen mit autologer Knochenplastik, seltener Korrekturosteotomien). Hauptlokalisation untere Extremität, Indikationsstellung zur Operation überwiegend bei lokaler therapieresistenter Beschwerdesymptomatik. Bei monostotischem Befall (n=23) 19 komplikationslose Verläufe, Cystenrezidiv selten; hohe Komplikationsrate in 5 Fällen mit polyostotischer Manifestation (Cystenrezidiv, Achsenfehlstellung).

Summary

Report on 28 cases with fibrous dysplasia treated operatively (mostly local curettage with autogenous bone-grafting, only a few correction-osteotomies). Prevailed site of localisation lower extremities, indication for surgery generally in case of local therapy-resistant painful lesions. In case of monostotic manifestation (n = 23) in 19 times no complications, hardly any recidivations; high complication-rate in case of 5 polyostotic localisations (recidivating cysts or deformity).

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Literatur

  1. 1.
    Blauth W, Meves H (1974) Behandlungsprobleme bei der “aggressiven” Form der fibrösen Dysplasie. Z Orthop 112:230–235PubMedGoogle Scholar
  2. 2.
    Conolly JF (1977) Sherperd’s Crook Deformities of Polyostotic Fibrous Dysplasia Treated by Osteotomy and Zickel Nail Fixation. Clin Orthop 123:22–24Google Scholar
  3. 3.
    Dohler JR, Hughes SP (1986) Fibrous dysplasia of bone and the Weil-Albright syndrome. A study of thirteen cases with special reference to the orthopaedic treatment. Int Orthop 10:53–62PubMedCrossRefGoogle Scholar
  4. 4.
    Dominok GW, Knoch HG (1971) Knochengeschwülste und geschwulstähnliche Knochenerkrankungen. VEB Fischer, JenaGoogle Scholar
  5. 5.
    Funk FJ, Wells RE (1973) Hip problems in Fibrous Dysplasia. Clin Orthop 90:77–82PubMedGoogle Scholar
  6. 6.
    Harris WH, Dudley HR, Barry RJ (1962) The Natural History of Fibrous Dysplasia. An Orthopaedic, Pathologic and Roentgenographic Study. J Bone Joint Surg 44-A:207–233PubMedGoogle Scholar
  7. 7.
    Henry A (1969) Monostotic Fibrous Dysplasia. J Bone Joint Surg 51-B:300–306Google Scholar
  8. 8.
    Lichtenstein L (1938) Polyostotic Fibrous Dysplasia. Arch Surg 36:874–898CrossRefGoogle Scholar
  9. 9.
    Nakashima Y, Kotoura Y, Nagashima T, Yamamuro T, Hamashima Y (1984) Monostotic Fibrous Dysplasia in the Femoral Neck. A Clinicopathologic study. Clin Orthop 191:242–248PubMedGoogle Scholar
  10. 10.
    Stephenson RB, London MD, Hankin FM, Kaufer H (1987) Fibrous Dysplasia. An Analysis of Options for Treatment. J Bone Joint Surg 69-A:400–409Google Scholar
  11. 11.
    Stewart MJ, Gilmer WS, Edmonson AS (1962) Fibrous Dysplasia of Bone. J Bone Joint Surg 44-B:302–318Google Scholar

Copyright information

© Springer-Verlag · Heidelberg 1989

Authors and Affiliations

  • H.-J. Hesselschwerdt
    • 1
  • J. Heisel
    • 1
  • E. Schmitt
    • 1
  1. 1.Orthopädische Universitätsklinik und PoliklinikHomburg/SaarGermany

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