Treatment of fibrous dysplasia involving the proximal femur

Twenty-two patients with fibrous dysplasia in the femoral neck or trochante ric area were treated with curettage and bone grafting with a sliding hip c ompression screw and plate. Follow-up ranged from 2 to 6 years (average: 4 years). Fourteen patients had monostotic and 8 had polyostotic disease. Fou r patients had pathologic fractures. Bone grafting included a deep-frozen a llogeneic cortical strut and cancellous bone. After implanting the lag scre w and cortical strut, the remaining defect space was filled with iliac bone . Postoperatively, all patients had good bone healing and complete incorpor ation of the implanted graft. There were no recurrences or complications, a nd functional results were rated as good and excellent.