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A Case of Osteofibrous Dysplasia Treated with a Hybrid Approach: Clinical and Radiological Outcomes

Volume 10 | Issue 3 | September-December 2024 | Page: 33-38 | Vivek Madankar, K. Ramkumar Reddy, Roshan Kumar Mohanty DOI- https://doi.org/10.13107/ijpo.2024.v10.i03.208 Open Access License: CC BY-NC 4.0 Copyright Statement: Copyright © 2024; The Author(s). Submitted: 15/11/2024; Reviewed: 22/11/2024; Accepted: 01/12/2024; Published: 10/12/2024 Authors: Vivek Madankar MS Ortho [1], K. Ramkumar Reddy MS Ortho [1], […]

A New Technique in the Treatment of Congenital Vertical Talus: A Case Series of Four Patients

Volume 10 | Issue 3 | September-December 2024 | Page: 25-32 | Harsharan Singh Oberoi, Baldish Singh Oberoi DOI- https://doi.org/10.13107/ijpo.2024.v10.i03.206 Open Access License: CC BY-NC 4.0 Copyright Statement: Copyright © 2024; The Author(s). Submitted: 21/11/2024; Reviewed: 23/11/2024; Accepted: 01/12/2024; Published: 10/12/2024 Authors: Harsharan Singh Oberoi MS, DNB Ortho [1], Baldish Singh Oberoi MS Ortho, MPH […]

A Case of Osteofibrous Dysplasia Treated with a Hybrid Approach: Clinical and Radiological Outcomes

A New Technique in the Treatment of Congenital Vertical Talus: A Case Series of Four Patients

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A Case of Osteofibrous Dysplasia Treated with a Hybrid Approach: Clinical and Radiological Outcomes

Volume 10 | Issue 3 | September-December 2024 | Page: 33-38 | Vivek Madankar, K. Ramkumar Reddy, Roshan Kumar Mohanty

DOI- https://doi.org/10.13107/ijpo.2024.v10.i03.208

Open Access License: CC BY-NC 4.0

Submitted: 15/11/2024; Reviewed: 22/11/2024; Accepted: 01/12/2024; Published: 10/12/2024

Authors: Vivek Madankar MS Ortho [1], K. Ramkumar Reddy MS Ortho [1], Roshan Kumar Mohanty MS Ortho [1]

[1] Department of Orthopaedics, Kakatiya Medical College, Warangal, Telangana, India.

Address of Correspondence

Dr. Vivek Madankar,
Department of Orthopaedics, Kakatiya Medical College, Warangal, Telangana, India.
E-mail: vivekmadankar@gmail.com

Abstract

Introduction: Osteofibrous dysplasia (OFD) is a rare, benign, and self-limiting fibro-osseous lesion primarily affecting the cortical bone of the tibia and fibula in children and adolescents. OFD presents diagnostic challenges due to its clinical and radiological resemblance to adamantinoma, a malignant bone tumor. Accurate diagnosis and appropriate treatment are essential to prevent complications and recurrence.
Case Report: We report the case of an 11-year-old boy with a four-month history of pain and a longstanding swelling in his right tibia. Clinical examination revealed a firm, well-circumscribed lesion in the tibial cortex. Imaging demonstrated a mixed sclerotic and lytic lesion with characteristic features, including a multilocular “soap bubble” appearance. Histopathological evaluation confirmed the diagnosis of OFD. The patient underwent a hybrid treatment approach involving surgical excision sparing the posterior cortex, followed by functional cast bracing. This strategy facilitated early mobilization and complete recovery. Radiological evaluation at six weeks demonstrated neo-osteogenesis, with full bone healing achieved by 12 weeks. At the two-year follow-up, the patient exhibited full functional recovery with no signs of recurrence.
Conclusion: This case highlights the successful management of OFD using a hybrid surgical and non-surgical approach, emphasizing the importance of accurate diagnosis and tailored treatment strategies. Combining surgical resection with functional bracing allowed for effective management, early weight-bearing, and prevention of complications. This approach adds to the orthopedic literature by illustrating an alternative, cost-effective treatment protocol for this rare bone disorder.
Keywords: Osteofibrous dysplasia, Tibial lesion, Hybrid treatment, Surgical excision, Functional cast bracing, Pediatric orthopedics

References

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How to Cite this Article: Madankar V, Reddy KR, Kumar R | A Case of Osteofibrous Dysplasia Treated with a Hybrid Approach: Clinical and Radiological Outcomes | International Journal of Paediatric Orthopaedics | September-December 2024; 10(3): 33-38.

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A New Technique in the Treatment of Congenital Vertical Talus: A Case Series of Four Patients

Volume 10 | Issue 3 | September-December 2024 | Page: 25-32 | Harsharan Singh Oberoi, Baldish Singh Oberoi

DOI- https://doi.org/10.13107/ijpo.2024.v10.i03.206

Open Access License: CC BY-NC 4.0

Submitted: 21/11/2024; Reviewed: 23/11/2024; Accepted: 01/12/2024; Published: 10/12/2024

Authors: Harsharan Singh Oberoi MS, DNB Ortho [1], Baldish Singh Oberoi MS Ortho, MPH [2]

[1] Department of Orthopaedics, Oberoi Hospital, Jalandhar City, Punjab, India.

Address of Correspondence

Dr. Baldish Singh Oberoi
Consultant Orthopaedic Surgeon, Oberoi Hospital, Jalandhar City, Punjab, India.
Email: baldishoberoi@gmail.com

Abstract

Congenital Vertical talus is a rare condition present at birth that occurs in 1 in 10000 live births. We present a case series of four patients that we treated by the minimal invasive procedure followed by serial casting. Satisfactory correction, both cosmetic and functional, was achieved in all the cases. These results indicate that minimal invasive surgery followed by serial casting is a good way to correct the deformity in patients presenting early. Often, Vertical Talus patients are corrected by extensive surgical procedures and wire fixations leading to complications and resulting in a stiff and painful foot. We have devised a minimally invasive procedure without any wire fixation for patients presenting early with satisfactory results.
Keywords: Congenital Vertical talus, Foot abduction Orthosis, Talo-calcaneal angle

References

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How to Cite this Article: Oberoi HS, Oberoi BS | A New Technique in the Treatment of Congenital Vertical Talus: A Case Series of Four Patients | International Journal of Paediatric Orthopaedics | September-December 2024; 10(3): 25-32.

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