The Journal of the Korean bone and joint tumor society (대한골관절종양학회지)
- Volume 1 Issue 1
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- Pages.60-67
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- 1995
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- 1226-4962(pISSN)
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- 2233-9841(eISSN)
Treatment of Forearm Deformity caused by Hereditary Osteochondromatosis using Free Vascularized Fibular Epiphyseal Transplantation
생비골 성장판 이식술을 이용한 선천성 다발성 골연골증에서 전완부 변형의 치료
- Han, Chung-Soo (Department of Orthopedic Surgery, Kyung Hee University Hospital) ;
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Yoo, Myung-Chul
(Department of Orthopedic Surgery, Kyung Hee University Hospital) ;
- Chung, Duke-Whan (Department of Orthopedic Surgery, Kyung Hee University Hospital) ;
- Han, Hyun-Soo (Department of Orthopedic Surgery, Kyung Hee University Hospital) ;
- Han, Soo-Hong (Department of Orthopedic Surgery, Kyung Hee University Hospital)
- 한정수 (경희대학교 의과대학 정형외과학교실) ;
-
유명철
(경희대학교 의과대학 정형외과학교실) ;
- 정덕환 (경희대학교 의과대학 정형외과학교실) ;
- 한현수 (경희대학교 의과대학 정형외과학교실) ;
- 한수홍 (경희대학교 의과대학 정형외과학교실)
- Published : 1995.04.30
Abstract
It is difficult to manage the growing deformity of forearm bone caused by hereditary osteochondromatosis in children, because deformity and discrepancy of limb length is progressive. The are many treatment methods of these problems including excisio of osteochondroma, lengthening of ulna, shortening of radius, corrective osteotomy with or without lengthening apparatus. Among many treatment methods, we tried free vascularized epiphyseal transplantation with the proximal fibular epiphysis in 3 patients of hereditary osteochondromatosis for inducement of continuous bone growth and deformity correction. The average duration of follow up was 7 years and 1 month, the shortest duration being to 4 years and 5 months and the longest 10 years and 8 months. Serial radiologic and clinical evaluation were carried out during follow up and there were satisfactory length gain, deformity correction and improvement of adjacent joint motion in 2 cases. According to our follow up evaluation, free vascularized epiphyseal transplantation is valuable procedure in forearm deformity of hereditary osteochondromatosis although it needs skillful and experienced operative technique.