Surgical treatment of monostotic fibrous dysplasia of the proximal femur in children and adolescents: Observational European Paediatric Orthopaedic Society multicenter study

In cases with low fracture and deformity risk, watchful waiting can be a viable management option for proximal femoral monostotic fibrous dysplasia. When intervention is necessary, internal fixation is advised to prevent fractures and deformity. Curettage with grafting or bone substitute injections should be used with hesitance. Currently, there is no clearly superior treatment for pediatric proximal femoral monostotic fibrous dysplasia, leaving treatment choices to be based on individual characteristics.

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Publication Details

Journal
Journal of Children s Orthopaedics
Published
2025-07-24
DOI
https://doi.org/10.1177/18632521251355884
Primary Topic
Bone Tumor Diagnosis and Treatments
Type
article
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article

Surgical treatment of monostotic fibrous dysplasia of the proximal femur in children and adolescents: Observational European Paediatric Orthopaedic Society multicenter study

Mikko Haara, Giovanni Beltrami, Mohamed Kamal Mesregah, Domenico Andrea Campanacci et al.
Journal of Children s Orthopaedics
Bone Tumor Diagnosis and Treatments
article

Surgical treatment of monostotic fibrous dysplasia of the proximal femur in children and adolescents: Observational European Paediatric Orthopaedic Society multicenter study

Mikko Haara, Giovanni Beltrami, Mohamed Kamal Mesregah, Domenico Andrea Campanacci, Tanja Kraus, Pieter Bas de Witte, Michiel A. J. van de Sande, Javeria Saeed, Minna Laitinen, Natasha M. Appelman‐Dijkstra, Thomas P.G. van Geloven, Camilo Soto-Montoya, Manuel Ricardo Medellin Rincon, L. van der Heijden, Gerhard M. Hobusch, Sebastian Farr, Kevin Döring, Dietmar Dammerer, Phillipp T Funovics
article en

Abstract

In cases with low fracture and deformity risk, watchful waiting can be a viable management option for proximal femoral monostotic fibrous dysplasia. When intervention is necessary, internal fixation is advised to prevent fractures and deformity. Curettage with grafting or bone substitute injections should be used with hesitance. Currently, there is no clearly superior treatment for pediatric proximal femoral monostotic fibrous dysplasia, leaving treatment choices to be based on individual characteristics.

Journal of Children s OrthopaedicsVol. 19(5)
University of Helsinki (FI), Leiden University Medical Center (NL), Helsinki University Hospital (FI), Aga Khan University Hospital (PK), Universidad Católica Luis Amigó (CO), Graz University Hospital (AT), Meyer Children's Hospital (IT), Azienda Ospedaliero-Universitaria Careggi (IT), Instituto Nacional de Cancerología (CO), Universitätsklinikum Krems (AT), Orthopaedic Hospital Speising (AT), Princess Máxima Center (NL), Erasmus MC - Sophia Children’s Hospital (NL), Menoufia University (EG), Medical University of Vienna (AT)
Good health and well-being
Openalex Percentile: Top 71%
Bone Tumor Diagnosis and Treatments
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