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  • Title: Removal of metaphyseal bone tumours with preservation of the epiphysis. Physeal distraction before excision.
    Author: Cañadell J, Forriol F, Cara JA.
    Journal: J Bone Joint Surg Br; 1994 Jan; 76(1):127-32. PubMed ID: 8300655.
    Abstract:
    In immature long bones, radical excision of malignant tumours of the metaphysis may necessitate sacrifice of the adjacent epiphysis. To preserve the adjacent joint while allowing a safe margin of excision, we used physeal distraction before removing the tumour. From July 1984 to August 1992, we operated on 20 patients by this method. After a mean follow-up of 54 months there was no local recurrence in the epiphyseal region. Three patients had developed pulmonary metastases.
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