Malformation of the humerus in a patient with Ollier disease treated with the Ilizarov technique

Loon, Pieter Van; Lammens, Johan

doi:10.1016/j.jse.2007.04.006

Cited by 7 publications

(6 citation statements)

References 8 publications

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“…Tellisi et al performed percutaneous osteotomy just distal to weakened bone from Ollier's disease, but suggested that this can be performed either intra-or extralesionally [9]. Van Loon performed a corticotomy through a small incision at the margin of enchondroma and healthy bone and observed in radiographs regeneration of healthy bone within the region of diseased bone [17]. Groote et al reported 20 intralesional, 6 transitional, and 14 extralesional corticotomies performed at the apex of the deformity or at a suitable level after the external fixator is anchored to the bone [18].…”

Section: Discussionmentioning

confidence: 99%

“…Internal osteosynthesis implants have been associated with complications, and importantly, they did not allow for lengthening of the involved bone. Therefore, unilateral and circular external fixation frames have become a popular treatment option in the last years [6][7][8][9][10][11][12][13][14][15][16][17][18]. The Ilizarov technique is the most common approach used to correct and lengthen LLD, although other types of external fixators have been developed such as the Multi-Axial Correction (MAC) System (Biomet Trauma, Warsaw, Indiana), the Orthofix fixators (Orthofix®, Verona, Italy), and the Taylor Spatial Frame (TSF, Smith and Nephew, Tennessee, USA).…”

Section: Introductionmentioning

confidence: 99%

“…The Ilizarov technique is the most common approach used to correct and lengthen LLD, although other types of external fixators have been developed such as the Multi-Axial Correction (MAC) System (Biomet Trauma, Warsaw, Indiana), the Orthofix fixators (Orthofix®, Verona, Italy), and the Taylor Spatial Frame (TSF, Smith and Nephew, Tennessee, USA). Combined techniques including lengthening intramedullary nailing, intramedullary nailing, and circular external fixators have been further described [15][16][17][18][19][20][21][22][23][24][25][26][27][28][29][30].…”

Section: Introductionmentioning

confidence: 99%

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Limb lengthening for deformities in Ollier’s disease: a systematic review

Angelini

Baracco

Dolci

et al. 2020

Eur J Orthop Surg Traumatol

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Background The management of limb deformity, shortening, and bone defects in treatment of Ollier's disease is a major challenge. This study aims to summarize and compare the different surgical treatments, and to evaluate the outcome and possible prognostic factors of leg lengthening in these patients. Materials and methods A systematic review of the literature from 1993 to 2017 was performed. Nineteen articles were found including a total of 121 patients with limb deformities because of Ollier's disease. The mean patients' age at the time of first surgery was 12 years. A total of 272 segments were surgically treated (14 segments in the upper limbs) with variable techniques including osteotomies and external fixation, intramedullary nails, as well as epiphysiodesis and lengthening over nail. We studied the bone healing index (BHI), distraction index (DI), distraction time, gained length, total treatment time, and complications. Results Available implants and techniques allowed correction of patients' deformities (lengthening and correction of angular defects) in most cases. External fixators, circular or monolateral frames were the most commonly used technique. The Ilizarov external fixator was the most commonly used frame (196 segments). The BHI was significantly better when the external fixation was combined with intramedullary nails. Epiphysiodesis was most likely to be more associated with the past than to the present. Joint stiffness, infection, early consolidation, pathological fracture, deformity recurrence, delayed union, nonunion, neurapraxia, and overlengthening were the reported complications with an overall rate of 27.9%. Conclusions There is no consensus for the optimal surgical technique and implants for correction of limbs deformities in patients with Ollier's disease. External fixators most commonly circular are the most commonly used implants; however, complications do occur.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Limb lengthening for deformities in Ollier’s disease: a systematic review

Angelini

Baracco

Dolci

et al. 2020

Eur J Orthop Surg Traumatol

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“…Most subtypes are non-hereditary, while some are autosomal dominant or recessive [5]. Clinically, the bone deformities as well as malignant progression of enchondromas may require (multiple) surgical interventions [9][10][11][12][13].…”

mentioning

confidence: 99%

Insights into Enchondroma, Enchondromatosis and the risk of secondary Chondrosarcoma. Review of the literature with an emphasis on the clinical behaviour, radiology, malignant transformation and the follow up

Herget¹,

Strohm²,

Rottenburger³

et al. 2014

neo

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“…Cattaneo [ 4 ] described a humeral lengthening using IF in 43 cases varied from 5 cm to 16 cm with different etiology of defect bones included achondroplasia, congenital shortening, bone infection and fracture with an excellent outcome in most patients. Van Loon [ 9 ] described a correction of deformity and realignment of the humerus using IF in 3 dimension plans in a 13-year-girl with Ollier disease. The girl has better function of upper limb and is satisfied with the cosmetic result.…”

Section: Discussionmentioning

confidence: 99%