Bone tumor reconstruction with the Ilizarov method. Academic Article uri icon

Overview

MeSH

  • Adolescent
  • Adult
  • Bone Diseases
  • Child
  • External Fixators
  • Female
  • Humans
  • Male
  • Middle Aged
  • New York City
  • Osteogenesis, Distraction
  • Osteotomy
  • Retrospective Studies
  • Treatment Outcome

MeSH Major

  • Arm
  • Bone Neoplasms
  • Ilizarov Technique
  • Leg
  • Leg Length Inequality
  • Limb Salvage
  • Orthopedic Procedures
  • Reconstructive Surgical Procedures

abstract

  • Patients with musculoskeletal tumors can face large bone deficiency, deformity, and nonunion. Distraction osteogenesis via the Ilizarov method may be useful for reconstruction of these deficiencies allowing limb preservation and optimizing function. We reviewed 20 patients with a range of musculoskeletal tumors necessitating surgical treatment. The group included 9 females and 11 males with a mean age of 22.6 (8-58) years at a mean follow up of 81.7 (26-131) months. The mean bone deficiency was 7.9 (1.2-18.0) cm. The mean lengthening achieved was 7.1 (3.5-18.0) cm over an EFI of 33.5 (range, 9.5-58.3) days/cm. This treatment resulted in 10 excellent and 3 good ASAMI bone scores, 10 excellent and 3 good ASAMI function scores, a mean lower extremity MSTS score of 93% and a mean upper extremity MSTS score of 87%. Treatment resulted in 2 complications, 18 obstacles, and 6 problems. The Ilizarov method is an effective technique for limb reconstruction of bone tumors, although extended time in external fixation is required. Since no one in this group received simultaneous chemotherapy or radiotherapy, we cannot comment on use of the Ilizarov method with these treatments. Further use and clinical follow-up is warranted. Copyright © 2012 Wiley Periodicals, Inc.

publication date

  • March 2013

has subject area

  • Adolescent
  • Adult
  • Arm
  • Bone Diseases
  • Bone Neoplasms
  • Child
  • External Fixators
  • Female
  • Humans
  • Ilizarov Technique
  • Leg
  • Leg Length Inequality
  • Limb Salvage
  • Male
  • Middle Aged
  • New York City
  • Orthopedic Procedures
  • Osteogenesis, Distraction
  • Osteotomy
  • Reconstructive Surgical Procedures
  • Retrospective Studies
  • Treatment Outcome

Research

keywords

  • Journal Article

Identity

Language

  • eng

Digital Object Identifier (DOI)

  • 10.1002/jso.23217

PubMed ID

  • 22806833

Additional Document Info

start page

  • 343

end page

  • 352

volume

  • 107

number

  • 4