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The Bone & Joint Journal

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The Journal of Bone & Joint Surgery British Volume
Vol. 76-B, Issue 1 | Pages 127 - 132
1 Jan 1994
Canadell J Forriol F Cara J

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.