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Journal of Bone and Joint Surgery - British Volume, Vol 89-B, Issue 8, 1077-1083.
doi: 10.1302/0301-620X.89B8.19132  
Copyright © 2007 by British Editorial Society of Bone and Joint Surgery
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Treatment of benign bone tumours using external fixation

H. Tsuchiya, MD, PhD, Clinical Professor1; A. F. Morsy, MD, Clinical Fellow1; H. Matsubara, MD, Postdoctoral Fellow1; K. Watanabe, MD, Postdoctoral Fellow1; M. E. Abdel-Wanis, MD, PhD, Lecturer2; and K. Tomita, MD, PhD, Professor and Chairman1

1 Department of Orthopaedic Surgery, Graduate School of Medical Science, Kanazawa University, 13-1 Takara-machi, Kanazawa 920-8641, Japan.
2 Department of Orthopaedic Surgery, Sohag Faculty of Medicine, Sohag University, 82524 Sohag, Egypt.

Correspondence should be sent to Dr H. Tsuchiya; e-mail: tsuchi{at}med.kanazawa-u.ac.jp

We present a retrospective study of patients suffering from a variety of benign tumours in whom external fixators were used to treat deformity and limb-length discrepancy, and for the reconstruction of bone defects. A total of 43 limbs in 31 patients (12 male and 19 female) with a mean age of 14 years (2 to 54) were treated.

The diagnosis was Ollier’s disease in 12 limbs, fibrous dysplasia in 11, osteochondroma in eight, giant cell tumour in five, osteofibrous dysplasia in five and non-ossifying fibroma in two. The lesions were treated in the tibia in 19 limbs, in the femur in 16, and in the forearm in eight. The Ilizarov frame was used in 25 limbs, the Taylor Spatial Frame in seven, the Orthofix fixator in six, the Monotube in four and the Heidelberg fixator in one. The mean follow-up was 72 months (22 to 221).

The mean external fixation period was 168 days (71 to 352). The mean external fixation index was 42 days/cm (22.2 to 102.0) in the 22 patients who required limb lengthening. The mean correction angle for those with angular deformity was 23° (7° to 45°).

At final follow-up all patients had returned to normal activities. Four patients required a second operation for recurrent deformity of further limb lengthening. Local recurrence occurred in one patient, requiring further surgery.




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H. Tsuchiya, T. Shirai, A. F. Morsy, K. Sakayama, T. Wada, K. Kusuzaki, T. Sugita, and K. Tomita
Safety of external fixation during postoperative chemotherapy
J Bone Joint Surg Br, July 1, 2008; 90-B(7): 924 - 928.
[Abstract] [Full Text] [PDF]



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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General