J. Canadell et al., REMOVAL OF METAPHYSEAL BONE-TUMORS WITH PRESERVATION OF THE EPIPHYSIS- PHYSEAL DISTRACTION BEFORE EXCISION, Journal of bone and joint surgery. British volume, 76B(1), 1994, pp. 127-132
In immature long bones, radical excision of malignant tumours of the m
etaphysis may necessitate sacrifice of the adjacent epiphysis. To pres
erve the adjacent joint while allowing a safe margin of excision, we u
sed physeal distraction before removing the tumour. From July 1984 to
August 1992, we operated on 20 patients by this method. After a mean f
ollow-up of 54 months there was no local recurrence in the epiphyseal
region. Three patients had developed pulmonary metastases.