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Distraction Histiogenesis: Principles and Indications.

Publication ,  Journal Article
Murray, JH; Fitch, RD
Published in: J Am Acad Orthop Surg
November 1996

Distraction histiogenesis is a biologic phenomenon that can be utilized to induce the formation of new bone and soft tissue. This technique has been used after corticotomy or osteotomy of bone to treat patients with limb-length inequality, angular deformities, segmental bone loss, nonunions, and contractures. A distraction force is applied with an external fixator, such as the Ilizarov circular fixator or a uniplanar fixator. The authors review the extensive preoperative planning required, the performance of osteotomy, the application of external fixators, and the timing between the osteotomy and the initiation of correction (the latency phase). The subsequent distraction phase involves active lengthening, transport, or angular correction through frequent small steps (e.g., 0.25 mm every 6 hours). This results in the formation of new bone, or regenerate, in longitudinal columns along the plane of distraction. The consolidation phase begins after the desired correction has been achieved; this period allows for maturation of the regenerate and corticalization before fixator removal.

Duke Scholars

Published In

J Am Acad Orthop Surg

DOI

EISSN

1940-5480

Publication Date

November 1996

Volume

4

Issue

6

Start / End Page

317 / 327

Location

United States

Related Subject Headings

  • Orthopedics
  • 3202 Clinical sciences
  • 1103 Clinical Sciences
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Murray, J. H., & Fitch, R. D. (1996). Distraction Histiogenesis: Principles and Indications. J Am Acad Orthop Surg, 4(6), 317–327. https://doi.org/10.5435/00124635-199611000-00004
Murray, J. H., and R. D. Fitch. “Distraction Histiogenesis: Principles and Indications.J Am Acad Orthop Surg 4, no. 6 (November 1996): 317–27. https://doi.org/10.5435/00124635-199611000-00004.
Murray JH, Fitch RD. Distraction Histiogenesis: Principles and Indications. J Am Acad Orthop Surg. 1996 Nov;4(6):317–27.
Murray, J. H., and R. D. Fitch. “Distraction Histiogenesis: Principles and Indications.J Am Acad Orthop Surg, vol. 4, no. 6, Nov. 1996, pp. 317–27. Pubmed, doi:10.5435/00124635-199611000-00004.
Murray JH, Fitch RD. Distraction Histiogenesis: Principles and Indications. J Am Acad Orthop Surg. 1996 Nov;4(6):317–327.

Published In

J Am Acad Orthop Surg

DOI

EISSN

1940-5480

Publication Date

November 1996

Volume

4

Issue

6

Start / End Page

317 / 327

Location

United States

Related Subject Headings

  • Orthopedics
  • 3202 Clinical sciences
  • 1103 Clinical Sciences