Distraction Osteogenesis for Correction of Distal Radius Deformity After Physeal Arrest

Distal radius osteosarcoma accounts for nearly 10% of all cancer-related maladies within the canine population. Traditional methods of treatment include amputation and/or chemotherapy. A major increase in survival rates (from 10% to 60%) with the combined use of these two techniques has now directed research towards saving the limbs of these patients. Massive cortical bone allografts, metal endoprosthesis and distraction osteogenesis are some of the available limb sparing approaches that have been investigated. Distraction osteogenesis requires surgeon expertise and significant post-operative intervention. Cortical allografts require the maintenance of a bone bank. Furthermore, they are associated with increased infection rates and ultimately result in amputation of the affected limb. Metal endoprostheses are a viable alternative to these methods. A metal endoprosthesis has previously been developed for limb sparing of distal radius osteosarcoma patients. However, a clinical trial of this device demonstrated failure rates of approximately 40%. The major causes of failure were screw pullout and shear failure of the proximal radius screws. A computational finite element study conducted in our laboratory corroborated these findings and provided critical information as regards to the structural causes of failure for these implants.

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Deformity correction by Ilizarov distraction osteogenesis after distal radius physeal arrest

Acta Orthopaedica et Traumatologica Turcica ◽

10.3944/aott.2011.2574 ◽

2011 ◽

Vol 45 (6) ◽

pp. 406-411 ◽

Cited By ~ 6

Author(s):

Hakan Gundes

Keyword(s):

Distal Radius ◽

Distraction Osteogenesis ◽

Deformity Correction

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Posttraumatic distal radius growth arrest treatment by ilizarov distraction osteogenesis

Journal of Limb Lengthening & Reconstruction ◽

10.4103/jllr.jllr_21_18 ◽

2019 ◽

Vol 5 (1) ◽

pp. 22

Author(s):

AbdullahA Nada ◽

MahmoudA El-Rosasy ◽

Mohamed Romeih

Keyword(s):

Distal Radius ◽

Distraction Osteogenesis ◽

Growth Arrest

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Distraction Osteogenesis in the Treatment of Craniofacial Anomalies: Applications and Outcomes

Perspectives of the ASHA Special Interest Groups ◽

10.1044/2020_persp-20-00055 ◽

2020 ◽

Vol 5 (6) ◽

pp. 1469-1481 ◽

Cited By ~ 1

Author(s):

Joseph A. Napoli ◽

Carrie E. Zimmerman ◽

Linda D. Vallino

Keyword(s):

Distraction Osteogenesis ◽

Bone Growth ◽

Upper Airway ◽

Craniofacial Anomalies ◽

Craniofacial Skeleton ◽

Facial Skeleton ◽

Psychosocial Impairment ◽

And Function ◽

Correct Structure

Purpose Craniofacial anomalies (CFA) often result in growth abnormalities of the facial skeleton adversely affecting function and appearance. The functional problems caused by the structural anomalies include upper airway obstruction, speech abnormalities, feeding difficulty, hearing deficits, dental/occlusal defects, and cognitive and psychosocial impairment. Managing disorders of the craniofacial skeleton has been improved by the technique known as distraction osteogenesis (DO). In DO, new bone growth is stimulated allowing bones to be lengthened without need for bone graft. The purpose of this clinical focus article is to describe the technique and clinical applications and outcomes of DO in CFA. Conclusion Distraction can be applied to various regions of the craniofacial skeleton to correct structure and function. The benefits of this procedure include improved airway, feeding, occlusion, speech, and appearance, resulting in a better quality of life for patients with CFA.

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