Limb salvage using distraction osteogenesis. A classification of the technique

The Journal of Bone and Joint Surgery. British Volume
Hiroyuki TsuchiyaS Kitano

Abstract

We report the results of distraction osteogenesis (callotasis) for the reconstruction of extensive defects after the excision of skeletal tumours in the limbs. Bone transport was performed in ten patients (five osteosarcomas and five giant-cell tumours), shortening-distraction in three (two osteosarcomas and one Ewing's sarcoma), and distraction osteogenesis combined with an intramedullary nail to reduce the time of external fixation in six (three osteosarcomas, two chondrosarcomas, and one malignant fibrous histiocytoma). The mean length of the defects after excision of the lesion was 8.4 cm. The mean external fixation index was 39.5 days/cm for the group treated by bone transport, 34.1 days/cm for the shortening-distraction group, and 24.0 days/cm for the group treated by distraction and an intramedullary nail. Functional evaluation gave excellent results in 12 patients, good in five and fair in two. There were ten complications in 19 patients, all of which were successfully treated. We also classified reconstruction using distraction osteogenesis into five types based on the location of the defects after resection of the tumour: type 1, diaphyseal; type 2, metaphyseal; type 3, epiphyseal; type 4, subarticular reconstruction;...Continue Reading

Citations

Jul 25, 2013·International Journal of Clinical Oncology·Katsuhiro HayashiTakanobu Otsuka
Apr 9, 2014·Clinical Orthopaedics and Related Research·Issei NomuraHiroyuki Tsuchiya
Feb 22, 2005·Archives of Orthopaedic and Trauma Surgery·Kaan ErlerMustafa Basbozkurt
Mar 9, 2006·Archives of Orthopaedic and Trauma Surgery·Ahmet KapukayaSuat Selek
Sep 28, 2007·Archives of Orthopaedic and Trauma Surgery·Dae-Geun JeonSoo-Yong Lee
Mar 29, 2008·Archives of Orthopaedic and Trauma Surgery·Toshihiro MatsuoMitsuo Ochi
Sep 13, 2001·ANZ Journal of Surgery·M Clayer
Jul 21, 2006·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·P-U TunnH Delbrück
May 13, 2006·International Orthopaedics·Hidenori MatsubaraKatsuro Tomita
Apr 17, 2009·International Orthopaedics·Mohamed Abdel RahmanHisham Shalaby
Jun 11, 2005·Current Oncology Reports·Valerae O Lewis
Feb 1, 2006·Expert Review of Anticancer Therapy·Hazem Wafa, Robert J Grimer
Jun 19, 2010·Journal of Orthopaedic Science : Official Journal of the Japanese Orthopaedic Association·Shunzo Osaka
Sep 30, 2005·Journal of Orthopaedic Science : Official Journal of the Japanese Orthopaedic Association·Koji WatanabeKatsuro Tomita
Nov 25, 2005·Journal of Orthopaedic Science : Official Journal of the Japanese Orthopaedic Association·Hiroyuki TsuchiyaKatsuro Tomita
Aug 26, 2014·Journal of Orthopaedic Science : Official Journal of the Japanese Orthopaedic Association·Bahtiyar DemiralpMustafa Basbozkurt
Aug 3, 2005·Journal of Orthopaedic Science : Official Journal of the Japanese Orthopaedic Association·Hidenori MatsubaraKatsuro Tomita
Oct 26, 2012·Journal of Orthopaedic Science : Official Journal of the Japanese Orthopaedic Association·Koji WatanabeIssei Nomura
Nov 29, 2011·Journal of the Formosan Medical Association = Taiwan Yi Zhi·Yukihiro YoshidaYasuaki Tokuhashi
Oct 18, 2015·Clinical Orthopaedics and Related Research·Joseph BeneveniaMax J Friedrich
Oct 10, 2013·Strategies in Trauma and Limb Reconstruction·Fergal P MonsellAllen Goodship
Jun 22, 2002·Journal of Orthopaedic Science : Official Journal of the Japanese Orthopaedic Association·Keisuke SakurakichiKatsuro Tomita
Feb 1, 2003·Journal of Orthopaedic Science : Official Journal of the Japanese Orthopaedic Association·Keisuke SakurakichiKatsuro Tomita
Feb 1, 2003·Journal of Orthopaedic Science : Official Journal of the Japanese Orthopaedic Association·Hiroyuki Tsuchiya, Katsuro Tomita
Apr 1, 2003·Journal of Orthopaedic Science : Official Journal of the Japanese Orthopaedic Association·Adel Refaat AhmedKenji Takagishi
Apr 1, 2003·Journal of Orthopaedic Science : Official Journal of the Japanese Orthopaedic Association·Hideomi WatanabeKenji Takagishi
Dec 10, 2009·Journal of Orthopaedic Science : Official Journal of the Japanese Orthopaedic Association·Yoshikazu TanzawaKatsuro Tomita
Sep 28, 2004·Journal of Orthopaedic Science : Official Journal of the Japanese Orthopaedic Association·Michiaki KaritaKatsuro Tomita
Oct 18, 2005·Journal of Orthopaedic Science : Official Journal of the Japanese Orthopaedic Association·Hiroyuki TsuchiyaKatsuro Tomita
Oct 18, 2005·Journal of Orthopaedic Science : Official Journal of the Japanese Orthopaedic Association·Toshiharu ShiraiKatsuro Tomita
Mar 6, 2012·Orthopedics·Germán L FarfalliD Luis Muscolo
Jan 15, 2008·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·B FuchsF H Sim
Oct 12, 2004·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·S IsefukuA H R W Simpson
May 11, 2005·Journal of Veterinary Medicine. A, Physiology, Pathology, Clinical Medicine·S C RahalL C Vulcano
Oct 26, 2007·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·Junichi TakiNorihisa Tonami
Mar 8, 2011·Journal of Surgical Oncology·Pietro RuggieriPanayiotis J Papagelopoulos
Jul 19, 2012·Journal of Surgical Oncology·Thomas H McCoyS Robert Rozbruch
Jun 4, 2015·Journal of Orthopaedic Surgery and Research·Tetsuya OhataShoichi Ichimura
Apr 16, 2004·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Alan S Herford
Aug 30, 2003·British Journal of Plastic Surgery·S FalderP L G Townsend
Jul 11, 2006·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·S Vidyadhara, S K Rao

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Canadian Association of Radiologists Journal = Journal L'Association Canadienne Des Radiologistes
Ibrahim Fikry AbdelwahabDavid C Yang
Acta orthopaedica Belgica
Bilal DemirVedat Sahin
© 2021 Meta ULC. All rights reserved