Bone tumor reconstruction with the Ilizarov method Journal Article

  


Authors: McCoy, T. H. Jr; Kim, H. J.; Cross, M. B.; Fragomen, A. T.; Healey, J. H.; Athanasian, E. A.; Rozbruch, S. R.
Article Title: Bone tumor reconstruction with the Ilizarov method
Abstract: Background and Objectives 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. Methods 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. Results 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. Conclusion 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.
Keywords: adolescent; adult; child; clinical article; school child; bone tumor; fracture; functional assessment; limb salvage; leg lengthening; radial nerve palsy; cellulitis; bone regeneration; abscess; distraction osteogenesis; pseudarthrosis; leg length inequality; limb reconstruction; ilizarov method; limb length discrepancy; flexion contracture; fracture external fixation; ilizarov technique; limb deformity; tarsal tunnel syndrome
Journal Title: Journal of Surgical Oncology
Volume: 107
Issue: 4
ISSN: 0022-4790
Publisher: Wiley Blackwell  
Date Published: 2013-03-01
Start Page: 343
End Page: 352
Language: English
DOI: 10.1002/jso.23217
PROVIDER: scopus
PUBMED: 22806833
DOI/URL:

http://www.scopus.com/inward/record.url?eid=2-s2.0-84874263894&partnerID=40&md5=81d76f078d762ca641f9f3a0331a4252
Notes: --- - "Export Date: 1 April 2013" - "CODEN: JSONA" - "Source: Scopus"
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MSK Authors
  1. Edward A Athanasian
    75 Athanasian
  2. John H Healey
    547 Healey
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