title: Removal of metaphyseal bone tumours with preservation of the epiphysis. Physeal distraction before excision.
abstract: 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.
authors.affiliation: Department of Orthopaedic Surgery and Traumatology, Navarre University Clinic, Pamplona, Spain.
authors.forename: J
authors.initials: J
authors.lastname: Cañadell
authors.forename: F
authors.initials: F
authors.lastname: Forriol
authors.forename: J A
authors.initials: JA
authors.lastname: Cara
mesh_terms: D000293:Adolescent; D001852:Bone Lengthening / Q000379:methods; D001859:Bone Neoplasms / Q000601:surgery*; D016025:Bone Transplantation; D002648:Child; D002675:Child, Preschool; D004838:Epiphyses / Q000601:surgery*; D005260:Female; D005266:Femoral Neoplasms / Q000601:surgery; D006801:Humans; D008297:Male; D008722:Methods; D009364:Neoplasm Recurrence, Local; D012516:Osteosarcoma / Q000601:surgery; D012512:Sarcoma, Ewing / Q000601:surgery; D013977:Tibia / Q000601:surgery