Chondrodiatasis in a patient with spondyloepimetaphyseal dysplasia using the Ilizarov technique: successful correction of an angular deformity with ensuing ossification of a large metaphyseal lesion. A case report.
Distraction through the physis (chondrodiatasis) is a controversial technique with unpredictable results. However, it has been used in the past for the lengthening and correction of angular deformities of long bones. We report the case of an 11-year-old patient with spondyloepimetaphyseal dysplasia (SEMD) who presented with a severe recurvatum deformity of the left proximal tibia secondary to collapse of the tibial plateau into a large metaphyseal cystic lesion. Using the chondrodiatasis technique with a percutaneously applied Ilizarov circular frame, we were able to correct this deformity. Surprisingly, healing and ossification of the metaphyseal lesion was simultaneously observed at the end of the treatment, a finding which, to the best of our knowledge, has not been previously reported.
Valdivia
G G
GG
Division of Orthopaedic Surgery, McGill University, Canada.
Fassier
F
F
Hamdy
R C
RC
D001845:Bone Cysts / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D001915:Braces; D002370:Casts, Surgical; D002648:Child; D006801:Humans; D018889:Ilizarov Technique; D008297:Male; D010009:Osteochondrodysplasias / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D011859:Radiography; D016059:Range of Motion, Articular; D013977:Tibia; D016896:Treatment Outcome