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Valgus osteotomy with internal fixation
79%
478/608
Curettage and allograft
8%
51/608
Observation
7%
41/608
Spica casting
5%
32/608
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This child has symptomatic fibrous dysplasia as evidenced by the coxa vara and ground-glass appearance. Lucency is also seen more distally in the femoral shaft. He already is symptomatic and is likely to progress to more severe deformity with observation alone. Although surgery may need to be repeated, corrective osteotomy and fixation are most appropriate. Allograft bone is likely to be resorbed in fibrous dysplasia. Casting is unlikely to relieve symptoms for long. Biopsy can be performed in conjunction with surgical correction.
1.5
(10)
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