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Limb reconstruction in Ollier's disease
S S Madan1, K Robinson, P D Kasliwal
1Department of Trauma and Orthopaedic Surgery, Sheffield Children's NHS Foundation Trust, Western Bank, Sheffield, S10 2TH, UK.
Strategies in Trauma and Limb Reconstruction
|April 11, 2015
Summary
Lengthening and deformity correction in Ollier's disease (multiple enchondromatosis) can be effective. A shorter latency period and faster distraction rate are recommended to prevent premature bone consolidation.
Area of Science:
- Orthopedic surgery
- Pediatric orthopedics
- Genetics and rare diseases
Background:
- Ollier's disease (multiple enchondromatosis) frequently causes limb length inequality and angular deformities.
- Patients often require multiple reconstructive surgeries due to high recurrence rates.
Purpose of the Study:
- To present experience in limb lengthening and complex deformity correction for Ollier's disease.
- To evaluate surgical outcomes and identify factors influencing treatment success.
Main Methods:
- Retrospective review of ten patients under 18 years old with Ollier's disease.
- Surgical management included limb lengthening and deformity correction with a minimum 2-year follow-up.
Main Results:
- Total length gain averaged 42.3 mm over a mean follow-up of 9.6 years.
- External fixation averaged 164.8 days with a bone healing index of 32.5 days/cm.
- A tendency for premature osteotomy consolidation was observed.
Conclusions:
- Limb lengthening and deformity correction are viable options for managing Ollier's disease.
- A shorter latency period (4-5 days) and faster distraction rate are advised to mitigate premature consolidation.
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