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Case Report | Orthopaedic Surgery | Volume 15 Issue 5, May 2026 | Pages: 372 - 377 | India
Growth-Preserving Stabilization in Recurrent Pathological Tibial Fractures Due to Non-Ossifying Fibroma: A Paediatric Case Report
Abstract: Background: Non-ossifying fibroma (NOF) is the most common benign fibrous bone lesion in children and is usually asymptomatic; however, lesions in weight-bearing bones may predispose to pathological fractures. We describe a 6-year-old girl who had two prior unicortical pathological fractures at the same location within a year, both of which were treated conservatively, and who now presented with a pathological midshaft tibial fracture after little trauma. Through a lytic lesion consistent with NOF, imaging showed a bicortical fracture. In light of skeletal immaturity, surgical treatment comprised corticotomy with lesion excision, partial fibulectomy to aid in alignment, and growth-preserving intramedullary telescopic fixation of the tibia. Radiographs taken after surgery revealed good alignment and steady healing. Fracture union was attained at the three-month follow-up, with knee range of motion restricted to 90 degrees and no problems or recurrence due to the implant. The significance of final surgical stabilization in recurring pathological fractures caused by NOF is demonstrated by this instance.
Keywords: Non-ossifying fibroma, Pathological fracture, Telescopic nail, Paediatric tibial fracture, Fibular strut graft, Intramedullary fixation
How to Cite?: Dr. Aadil Cyclewala, Dr. Ashay Gandhi, Dr. Yash Chordiya, Dr. Girish Gadekar, "Growth-Preserving Stabilization in Recurrent Pathological Tibial Fractures Due to Non-Ossifying Fibroma: A Paediatric Case Report", Volume 15 Issue 5, May 2026, International Journal of Science and Research (IJSR), Pages: 372-377, https://www.ijsr.net/getabstract.php?paperid=SR26506072029, DOI: https://dx.dx.doi.org/10.21275/SR26506072029