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Updated: Jul 30, 2026

Creating Rigidly Stabilized Fractures for Assessing Intramembranous Ossification, Distraction Osteogenesis, or Healing of Critical Sized Defects
Published on: April 11, 2012
Distraction osteogenesis of the craniofacial skeleton
J G McCarthy1, E J Stelnicki, B J Mehrara
1Variety Center for Craniofacial Rehabilitation, Institute of Reconstructive Plastic Surgery, New York University Medical Center, New York, NY 10016, USA. joseph.mccarthy@med.nyu.edu
Distraction osteogenesis surgically corrects craniofacial hypoplasias by expanding bone at 1 mm daily, forming new bone without grafts. This technique also stretches soft tissues, proving effective in clinical practice.
Area of Science:
- Craniofacial surgery
- Orthopedic research
- Tissue engineering
Background:
- Distraction osteogenesis is a preferred surgical method for craniofacial hypoplasias.
- The Ilizarov principle demonstrates bone formation through gradual expansion (distraction) at 1 mm/day.
- This technique avoids bone grafting and aids soft tissue expansion.
Purpose of the Study:
- To review 11 years of clinical and research experience with mandibular distraction osteogenesis.
- To highlight the indications and contraindications for this surgical technique.
- To emphasize the role of basic science research in advancing mandibular distraction osteogenesis.
Main Methods:
- Review of clinical cases and research data over an 11-year period.
- Analysis of patient outcomes related to mandibular distraction osteogenesis.
- Correlation of basic science findings with clinical applications.
Main Results:
- Distraction osteogenesis successfully induces new bone formation along the distraction vector.
- The technique effectively expands overlying soft tissues, addressing deficiencies.
- Clinical and research experience supports the efficacy of mandibular distraction osteogenesis.
Conclusions:
- Mandibular distraction osteogenesis is a valuable treatment for craniofacial hypoplasias.
- Understanding the principles of distraction osteogenesis is crucial for successful application.
- Continued research is vital for further refinement and application of this technique.
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