Pediatric Bone Sarcomas Epiphysiolysis before excision
Pediatric Bone Sarcomas: Epiphysiolysis before excision addresses malignant bone tumours by focusing upon physeal distraction (epiphysiolysis) before excision. This technique has long been used by the authors of this book in preserving the joint in metaph
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Pediatric Bone Sarcomas
Epiphysiolysis Before Excision
Pediatric Bone Sarcomas
Editors
José Cañadell · Mikel San-Julian
Pediatric Bone Sarcomas Epiphysiolysis Before Excision
Foreword by: Franklin H. Sim
Editors José Cañadell, MD PhD Emeritus Professor Department of Orthopedic Surgery University of Navarra Pamplona, Navarra Spain
Mikel San-Julian, MD PhD Consultant Department of Orthopedic Surgery University of Navarra Pamplona, Navarra Spain
ISBN 978-1-84882-129-3 e-ISBN 978-1-84882-130-9 DOI 10.1007/978-1-84882-130-9 Springer Dordrecht Heidelberg London New York British Library Cataloguing in Publication Data A catalogue record for this book is available from the British Library Library of Congress Control Number: PCN applied for © Springer-Verlag London Limited 2009 Apart from any fair dealing for the purposes of research or private study, or criticism or review, as permitted under the Copyright, Designs and Patents Act 1988, this publication may only be reproduced, stored or transmitted, in any form or by any means, with the prior permission in writing of the publishers, or in the case of reprographic reproduction in accordance with the terms of licenses issued by the Copyright Licensing Agency. Enquiries concerning reproduction outside those terms should be sent to the publishers. The use of registered names, trademarks, etc., in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant laws and regulations and therefore free for general use. Product liability: The publisher can give no guarantee for information about drug dosage and application thereof contained in this book. In every individual case the respective user must check its accuracy by consulting other pharmaceutical literature. Printed on acid-free paper Springer is part of Springer Science+Business Media (www.springer.com)
Foreword
Sparing of the growth plate is an early feature of diaphyseal and meta-diaphyseal osteosarcoma. Capitalising on this characteristic, Jose Cañadell has developed an innovative technique to preserve the epiphysis while resecting primary bone malignancies lying adjacent to the growth plate of skeletally immature patients. Using external fixation devices, controlled distraction of the epiphysis from the growth plate permits iatrogenic separation of the epiphysis from the affected region. Subsequent resection is enhanced by a safe distal margin and Cañadell’s local control rates attest to the success of the procedure as an oncologically sound technique.The Cañadell technique has been developed through rigorous examination of the behaviour of osteosarcoma, as well as an interrogation of the best modalities for assessing tumour invasion of the growth plate. Combining an innovative treatment philosophy with a sound knowledge of the behaviour of osteosarcoma and basic bone and growth plate biology, as well as an extensive experience with ancillary investigations and adjuvant therapies, Cañadell has developed a robust surgical technique for the managem
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