Over 10-year follow-up of functional outcome in patients with bone tumors reconstructed using distraction osteogenesis

Over 10-year follow-up of functional outcome in patients with bone tumors reconstructed using distraction osteogenesis

フォーマット:

論文

責任表示:

Watanabe, Koji ; Tsuchiya, Hiroyuki ; Yamamoto, Norio ; Shirai, Toshiharu ; Nishida, Hideji ; Hayashi, Katsuhiro ; Takeuchi, Akihiko ; Matsubara, Hidenori ; Nomura, Issei

言語:

英語

出版情報:

Japanese Orthopaedic Association 日本臨床整形外科学会 / Springer Verlag, 2013-01-01

著者名:

掲載情報:

Journal of Orthopaedic Science

ISSN:

0949-2658

巻:

18

通号:

1

開始ページ:

101

終了ページ:

109

バージョン:

publisher

概要:

Background: The aim of this study was to investigate the long-term functional capabilities of patients who underwent bone distraction for the treatment of bone defects caused by bone tumor excision. Methods: Bone distraction was indicated for patients with stage IIB malignant bone tumors when chemotherapy was judged to be effective and an epiphysis could be preserved or for patients with low-grade or aggressive benign bone tumors. Twenty-two patients who … underwent reconstruction with bone distraction and were followed up for at least 10 years were retrospectively investigated. Patients included 8 males and 14 females, with a mean age of 25.3 years. Tumor types included seven osteosarcomas, two osteofibrous dysplasias, one Ewing's sarcoma, five low-grade osteosarcomas, two adamantinomas, and five giant cell tumors. Chemotherapy was performed during bone distraction in 8 cases. Bone transport was used in 17 cases, while shortening distraction was used in 5 cases. Results: The mean distraction length was 8.1 cm, and the mean external fixation period was 301 days. The average Musculoskeletal Tumor Society score (used to measure functional outcome) was 91.5 % at mean follow-up of 202 months. Fourteen patients were able to play sports without any difficulty. Conclusions: Epiphyseal preservation and reconstruction by bone distraction require both time and effort, but can provide excellent long-term outcomes, resulting in a stable reconstruction that functionally restores the natural limb. © 2012 The Japanese Orthopaedic Association. 続きを見る

URL:

http://hdl.handle.net/2297/34138

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受理日:	2013-01-01

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3 論文 High-grade undifferentiated pleomorphic sarcoma of pelvis treated with curettage and bone graft after complete remission following caffeine-potentiated … Tsuchiya, Hiroyuki, Takeuchi, Akihiko, Yamamoto, Norio, Shirai, Toshiharu, Hayashi, Katsuhiro, Nishida, Hideji, Tomita, … Springer Verlag (Germany) / The Japanese Orthopaedic Association	9 論文 The outcomes of reconstruction using frozen autograft combined with iodine-coated implants for malignant bone tumors: Compared with non-coated implants Shirai, Toshiharu, Tsuchiya, Hiroyuki, Terauchi, Ryu, Tsuchida, Shinji, Mizoshiri, Naoki, Igarashi, Kentaro, Miwa, … Oxford University Press
4 論文 Pedicle versus free frozen autograft for reconstruction in malignant bone and soft tissue tumors of the lower extremities Shimozaki, Shingo, Yamamoto, Norio, Shirai, Toshiharu, Nishida, Hideji, Hayashi, Katsuhiro, Tanzawa, Yoshikazu, Kimura, … Japanese Orthopaedic Association 日本整形外科学会 / Springer Verlag (Germany)	10 論文 Caffeine-potentiated chemotherapy for clear cell sarcoma: a report of five cases Karita, Michiaki, Tsuchiya, Hiroyuki, Yamamoto, Norio, Shirai, Toshiharu, Hayashi, Katsuhiro, Nishida, Hideji Japan Society of Clinical Oncology = 日本癌治療学会 / Springer Verlag (Germany)
5 論文 Correction of a Severe Poliomyelitic Equinocavovarus Foot Using an Adjustable External Fixation Frame Nomura, Issei, Watanabe, Koji, Matsubara, Hidenori, Nishida, Hideji, Shirai, Toshiharu, Tsuchiya, Hiroyuki American College of Foot and Ankle Surgeons / Elsevier	11 論文 Innovative antimicrobial coating of titanium implants with iodine Tsuchiya, Hiroyuki, Shirai, Toshiharu, Nishida, Hideji, Murakami, Hideki, Kabata, Tamon, Yamamoto, Norio, Watanabe, … 日本整形外科学会 = Japanese Orthopaedic Association / Springer
6 論文 Huge and deeply situated glomus tumor: Its malignant form Shirai, Toshiharu, Tsuchiya, Hiroyuki, Yamamoto, Norio, Hayashi, Katsuhiro, Nishida, Hideji, Takeuchi, Akihiko, Kimura, … Lippincott, Williams & Wilkins	12 論文 Salvage surgery with a tumor prosthesis for femoral condylar nonunion at the very advanced age of 90 years Watanabe, Koji, Matsubara, Hidenori, Nomura, Issei, Tsuchiya, Hiroyuki Elsevier