Physeal Distraction for Joint Preservation in Malignant Metaphyseal Bone Tumors in Children

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Physeal distraction for joint preservation in malignant metaphyseal bone tumors in children.

BACKGROUND Physeal distraction facilitates metaphyseal bone tumor resection in children and preserves the adjacent joint. The technique was first described by Cañadell. Tumor resection procedures allowing limb-sparing reconstruction have been used increasingly in recent years without compromising oncologic principles. QUESTIONS/PURPOSES We report our results with Cañadell's technique by asses...

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Removal of metaphyseal bone tumours with preservation of the epiphysis. Physeal distraction before excision.

In immature long bones, radical excision of malignant tumours of the metaphysis may necessitate sacrifice of the adjacent epiphysis. To preserve the adjacent joint while allowing a safe margin of excision, we used physeal distraction before removing the tumour. From July 1984 to August 1992, we operated on 20 patients by this method. After a mean follow-up of 54 months there was no local recurr...

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Effects of metaphyseal bone tumor removal with preservation of the epiphysis and knee arthroplasty

In this study, the effects of surgical removal of malignant metaphyseal bone tumors with epiphysis preservation and knee arthroplasty were analyzed. A total of 15 patients with malignant metaphyseal bone tumors were investigated. Six of these patients underwent epiphyseal preservation surgery with preoperative physeal distraction, termed the physeal distraction (PD) group. Nine patients underwe...

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Experimental physeal distraction in immature sheep.

An experimental study on physeal distraction was carried out in the distal femur of 45 two-month-old lambs for the purpose of identifying the basic mechanism of lengthening as well as assessing growth cartilage viability after lengthening. The animals were divided into three groups, each with three subgroups, according to the distraction rate employed (2 mm/day, 1 mm/day, 0.5 mm/day) and the ti...

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Modular endoprostheses for children with malignant bone tumors.

BACKGROUND The treatment of malignant bone tumors in skeletally immature patients is difficult because the required surgery removes the growth plate of one extremity. To date, few techniques for limb salvage have been successful due to complications involving limb expansion and limb-length discrepancy. Newer technology is now available for prosthetic replacements for modular expansion. METHOD...

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ژورنال

عنوان ژورنال: Clinical Orthopaedics & Related Research

سال: 2012

ISSN: 0009-921X

DOI: 10.1007/s11999-011-2224-0