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01.01.2013 | Original Article

Over 10-year follow-up of functional outcome in patients with bone tumors reconstructed using distraction osteogenesis

verfasst von: Koji Watanabe, Hiroyuki Tsuchiya, Norio Yamamoto, Toshiharu Shirai, Hideji Nishida, Katsuhiro Hayashi, Akihiko Takeuchi, Hidenori Matsubara, Issei Nomura

Erschienen in: Journal of Orthopaedic Science | Ausgabe 1/2013

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Abstract

Background

The aim of this study was to investigate the long-term functional capabilities of patients who underwent bone distraction for the treatment of bone defects caused by bone tumor excision.

Methods

Bone distraction was indicated for patients with stage IIB malignant bone tumors when chemotherapy was judged to be effective and an epiphysis could be preserved or for patients with low-grade or aggressive benign bone tumors. Twenty-two patients who underwent reconstruction with bone distraction and were followed up for at least 10 years were retrospectively investigated. Patients included 8 males and 14 females, with a mean age of 25.3 years. Tumor types included seven osteosarcomas, two osteofibrous dysplasias, one Ewing’s sarcoma, five low-grade osteosarcomas, two adamantinomas, and five giant cell tumors. Chemotherapy was performed during bone distraction in 8 cases. Bone transport was used in 17 cases, while shortening distraction was used in 5 cases.

Results

The mean distraction length was 8.1 cm, and the mean external fixation period was 301 days. The average Musculoskeletal Tumor Society score (used to measure functional outcome) was 91.5 % at mean follow-up of 202 months. Fourteen patients were able to play sports without any difficulty.

Conclusions

Epiphyseal preservation and reconstruction by bone distraction require both time and effort, but can provide excellent long-term outcomes, resulting in a stable reconstruction that functionally restores the natural limb.

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Titel: Over 10-year follow-up of functional outcome in patients with bone tumors reconstructed using distraction osteogenesis
verfasst von: Koji Watanabe
Hiroyuki Tsuchiya
Norio Yamamoto
Toshiharu Shirai
Hideji Nishida
Katsuhiro Hayashi
Akihiko Takeuchi
Hidenori Matsubara
Issei Nomura
Publikationsdatum: 01.01.2013
Verlag: Springer Japan
Erschienen in: Journal of Orthopaedic Science / Ausgabe 1/2013
Print ISSN: 0949-2658
Elektronische ISSN: 1436-2023
DOI: https://doi.org/10.1007/s00776-012-0327-4

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Over 10-year follow-up of functional outcome in patients with bone tumors reconstructed using distraction osteogenesis