The Journal of the Korean bone and joint tumor society (대한골관절종양학회지)

The Korean Musculoskeletal Tumor Society (대한근골격종양학회)
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Growth Expectation in Children: Leg Length Discrepancy Related with Bone Tumor in Children

소아에서의 성장 예측: 골종양의 치료와 관련된 소아 하지 부동

  • Jung, Sung-Taek (Department of Orthopedic Surgery, Chonnam National University College of Medicine) ;
  • Jeong, Kwang-Cheul (Department of Orthopedic Surgery, Chonnam National University College of Medicine) ;
  • Park, Hyeong-Won (Department of Orthopedic Surgery, Chonnam National University College of Medicine)
  • 정성택 (전남대학교 의과대학 정형외과학교실) ;
  • 정광철 (전남대학교 의과대학 정형외과학교실) ;
  • 박형원 (전남대학교 의과대학 정형외과학교실)
  • Received : 2011.02.22
  • Accepted : 2011.05.30
  • Published : 2011.06.30
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Abstract

The main goals of treatment of malignant bone tumor are the prolongation of life survival and the improvement of quality of life. In growing children, however, leg length discrepancy (LLD) is one of major problem in the treatment of malignant bone tumors. Therefore, the precise understanding of growth in children is essential, and the prediction of LLD is critical in deciding the time and options of surgery. In addition, to use the adequate method of growth expectation, periodic follow-up and collaboration with patient's parents are needed.

악성 골종양의 치료의 주된 목적은 장기 생존기간을 연장 및 삶의 질적 개선이나, 소아의 경우 골격 성장이 지속되어 종양 치료 후 성장 완료 시 나타나는 하지 부동(leg length discrepancy)이 치료에 있어 중요한 문제 중 하나이다. 성장기 소아의 하지 부동을 치료하기 위해서는 먼저 소아의 정상적인 성장에 대한 정확한 이해가 필요하며, 성장 과정에서의 하지 부동의 정도를 예측하는 것은 이에 대한 수술적 치료의 시기 및 방법의 선택에 있어 필수적이다. 또한 이러한 성장 예측 방법들을 적절히 사용하기 위해서는 지속적인 추시 관찰이 필수적이므로 환아의 부모와의 긴밀한 협조 또한 중요할 것으로 생각된다.

Keywords

References

  1. Liu XC, Fabry G, Molenaers G, Lammens J, Moens P. Kinematic and kinetic asymmetry in patients with leg-length discrepancy. J Pediatr Orthop. 1998;18:187-189.
  2. Gofton JP, Trueman GE. Studies in osteoarthritis of the hip. II. Osteoarthritis of the hip and leg-length disparity. Can Med Assoc J. 1971;104:791-799.
  3. Kujala UM, Friberg O, Aalto T, Kvist M, Osterman K. Lower limb asymmetry and patellofemoral joint incongruence in the etiology of knee exertion injuries in athletes. Int J Sports Med. 1987;8:214-220. https://doi.org/10.1055/s-2008-1025658
  4. Giles LG, Taylor JR. The effect of postural scoliosis on lumbar apophyseal joints. Scand J Rheumatol. 1984;13:209-220. https://doi.org/10.3109/03009748409100389
  5. Dimeglio A. Growth in pediatric orthopaedics. J Pediatr Orthop. 2001;21:549-555.
  6. Tanner JM, Davies PS. Clinical longitudinal standards for height and height velocity for North American children. J Pediatr Orthop. 1985;107:317-329. https://doi.org/10.1016/S0022-3476(85)80501-1
  7. Tanner JM, Whitehouse RH. Clinical longitudinal standards for height, weight, height velocity, weight velocity, and stages of puberty. Arch Dis Child. 1976;51:170-179. https://doi.org/10.1136/adc.51.3.170
  8. Moseley RT, Weinstein SL. Lovell and Winter's Pediatirc Orthopaedics. 6th ed. Philadelphia, PA: Lippincott Williams and Wilkins; 2006.
  9. Greulich WW, Pyle SI. Radiographic atlas of skeletal development of the hand and wrist. 2nd ed. Stanford: Stanford University Press; 1959.
  10. Sauvegrain J, Nahum H, Bronstein H. Study of bone maturation of the elbow. Ann Radiol (Paris). 1962;5:542-550.
  11. Risser JC. The Iliac apophysis; an invaluable sign in the management of scoliosis. Clin Orthop Relat Res. 1958;11:111-119.
  12. Anderson M, Messner MB, Green WT. Distribution of lengths of the normal femur and tibia in children from one to eighteen years of age. J Bone Joint Surg Am. 1964;46:1197-1202. https://doi.org/10.2106/00004623-196446060-00004
  13. Ha JH, Choi IH, Chung CY, et al. Distribution of lengths of the normal femur and tibia in Korean children from three to sixteen years of age. J Korean Med Sci. 2003;18:715-721. https://doi.org/10.3346/jkms.2003.18.5.715
  14. Anderson M, Green WT, Messner MB. Growth and predictions of growth in the lower extremities. J Bone Joint Surg Am. 1963;45:1-14. https://doi.org/10.2106/00004623-196345010-00001
  15. Tupman GS. A study of bone growth in normal children and its relationship to skeletal maturation. J Bone Joint Surg Br. 1962;44:42-67.
  16. Menelaus MB. Correction of leg length discrepancy by epiphysial arrest. J Bone Joint Surg Br. 1966;48:336-339.
  17. Westh RN, Menelaus MB. A simple calculation for the timing of epiphysial arrest: a further report. J Bone Joint Surg Br. 1981;63:117-119.
  18. Moseley CF. A straight-line graph for leg-length discrepancies. J Bone Joint Surg Am. 1977;59:174-179. https://doi.org/10.2106/00004623-197759020-00006
  19. Moseley CF. A straight line graph for leg length discrepancies. Clin Orthop Relat Res. 1978;136:33-40.
  20. Paley D, Bhave A, Herzenberg JE, Bowen JR. Multiplier method for predicting limb-length discrepancy. J Bone Joint Surg Am. 2000;82:1432-1446. https://doi.org/10.2106/00004623-200010000-00010
  21. Cool WP, Carter SR, Grimer RJ, Tillman RM, Walker PS. Growth after extendible endoprosthetic replacement of the distal femur. J Bone Joint Surg Br. 1997;79:938-942. https://doi.org/10.1302/0301-620X.79B6.7868
  22. Dominkus M, Krepler P, Schwameis E, Windhager R, Kotz R. Growth prediction in extendable tumor prostheses in children. Clin Orthop Relat Res. 2001;390:212-220. https://doi.org/10.1097/00003086-200109000-00024
  23. Neel MD, Heck R, Britton L, Daw N, Rao BN. Use of a smooth press-fit stem preserves physeal growth after tumor resection. Clin Orthop Relat Res. 2004;426:125-128. https://doi.org/10.1097/01.blo.0000141386.97866.bb
  24. Key JA, Ford LT. A study of experimental trauma to the distal femoral epiphysis in rabbits. II. J Bone Joint Surg Am. 1958;40:887-896. https://doi.org/10.2106/00004623-195840040-00012
  25. Siffert RS. The effect of staples and longitudinal wires on epiphyseal growth; an experimental study. J Bone Joint Surg Am. 1956;38:1077-1088. https://doi.org/10.2106/00004623-195638050-00010

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