Biopsy Proven Focal Osteolysis in a Stainless-Steel Limb-Lengthening Device: A Report of Three Cases

Autor: Diana W. Molavi, Oliver Charles Sax, John E. Herzenberg, Shawn C. Standard, Philip K McClure
Rok vydání: 2021
Předmět:
Zdroj: JAAOS Global Research & Reviews
ISSN: 2474-7661
Popis: Three pediatric patients presented with histologically confirmed osteolysis after limb lengthening with a magnetic, telescoping, stainless-steel device. The first patient's findings were discovered radiographically before routine removal of the device. In all cases, intraoperative histologic specimens taken from around the modular junction demonstrated particle-laden macrophages with suspicion for metal debris. Silicone debris was also identified. We found definitive osteolysis secondary to metal at the modular junction of three stainless-steel lengthening implants. This process is not well-understood in the setting of limb lengthening and should be examined further.
Databáze: OpenAIRE