Document Detail


Limb reconstruction with the callus distraction method after bone tumor resection.
MedLine Citation:
PMID:  10738888     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The callus distraction method was applied to nine patients who were referred to us because of a bone tumor. Their mean age was 17 years and 3 months (range 7-37 years). Three were female, and 6 were male. All of the tumors were localised on the femur, and the histological diagnosis was two chondrosarcomas, one Ewing's sarcoma, three osteosarcomas, one giant cell bone tumor, and the remainder benign fibrous histiocytoma. The mean length of the defect after resection of the tumor was 11.5 (range 8-20) cm. Preoperative and postoperative chemotherapy were applied to patients with osteosarcoma and Ewing's sarcoma. The patients were followed up for 22 (range 15-30) months on average. The mean period of use of the external fixator was 12.5 (range 8-18) months. One patient suffered a tumour recurrence and died after 20 months. Complications included one deep infection, one skin invagination, and one premature consolidation and bone bridge in the defect area. All of the complications were successfully treated. Functional evaluation gave excellent results in four patients, good in three, and fair in two. This method can be used without any need for massive autogenous bone graft in repairing defects of any length and diameter produced after excision of the lesion and thus can be considered as an alternative to other techniques.
Authors:
A Kapukaya; M Subaşi; E Kandiya; M Ozateş; F Yilmaz
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Archives of orthopaedic and trauma surgery     Volume:  120     ISSN:  0936-8051     ISO Abbreviation:  Arch Orthop Trauma Surg     Publication Date:  2000  
Date Detail:
Created Date:  2000-04-21     Completed Date:  2000-04-21     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9011043     Medline TA:  Arch Orthop Trauma Surg     Country:  GERMANY    
Other Details:
Languages:  eng     Pagination:  215-8     Citation Subset:  IM    
Affiliation:
Orthopaedics and Traumatology Clinic, School of Medicine, Dicle University, Diyarbakir, Turkey.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Bone Transplantation
Child
Chondrosarcoma / diagnosis,  radiography,  surgery*
External Fixators
Female
Femoral Neoplasms / diagnosis,  radiography,  surgery*
Femur / radiography
Follow-Up Studies
Giant Cell Tumors / surgery*
Histiocytoma, Benign Fibrous / surgery*
Humans
Magnetic Resonance Imaging
Male
Osteogenesis, Distraction*
Osteosarcoma / surgery*
Sarcoma, Ewing's / surgery*
Time Factors
Tomography, X-Ray Computed

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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