Cañadell J, Forriol F, Cara J A
Department of Orthopaedic Surgery and Traumatology, Navarre University Clinic, Pamplona, Spain.
J Bone Joint Surg Br. 1994 Jan;76(1):127-32.
In immature long bones, radical excision of malignant tumours of the metaphysis may necessitate sacrifice of the adjacent epiphysis. To preserve the adjacent joint while allowing a safe margin of excision, we used physeal distraction before removing the tumour. From July 1984 to August 1992, we operated on 20 patients by this method. After a mean follow-up of 54 months there was no local recurrence in the epiphyseal region. Three patients had developed pulmonary metastases.
