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Abstract

Callus distraction (callotasis) is a method of bone lengthening introduced into clinical practice by De Bastiani et al in the 1980s.1 A long bone is sectioned at the diaphysis, stabilized for two weeks, and then subjected to gradual distraction using a rigid external fixation device. The distraction gap fills with growing callus that is destined to develop into solid bone. A slow rate of distraction does not break the bridging callus; it stimulates osteogenesis. The bone is thus lengthened without the need for bone grafting.

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References

  1. De Bastiani G., Aldegheri R., Renzi Brivio L. and Trivella G. ‘Limb lengthening by callus distraction (callotasis)’. J Pediatr Orthop 1987; 7:129–134.

    Article  PubMed  Google Scholar 

  2. Ilizarov G.A. ‘The tension-stress effect on the genesis and growth of tissues. Part II. The influence of stability of fixation and soft-tissue preservation’. Clin Orthop 1989; 238:249–281.

    PubMed  Google Scholar 

  3. Ilizarov G.A. ‘The tension-stress effect on the genesis and growth of tissues. Part II. The influence of the rate and frequency of distraction.’ Clin Orthop 1989; 239:263–285.

    PubMed  Google Scholar 

  4. Paley D. ‘Current techniques of limb lengthening’. J Pediatr Orthop 1988; 8:73–92.

    Article  PubMed  CAS  Google Scholar 

  5. Aldegheri R., Trivella G., Renzi Brivio L., Tessari G., Agostini S. and Lavini F. ‘Lengthening of the lower limbs in achondro-plastic patients’. J Bone Joint Surg [Br] 1988; 70-B: 69–73.

    Google Scholar 

  6. Dalmonte A. and Donzelli D. ‘Comparison of different methods of leg lengthening’. J Pediatr Orthop 1988; 8:62–71.

    Article  CAS  Google Scholar 

  7. Kawamura B., Hosono S., Takahashi T., Yano T., Kobayashi Y., Shibata N. and Shinoda Y. ‘Limb lengthening by means of subcutaneous osteotomy’. J Bone Joint Surg [Am] 1968; 50-A: 851–878.

    Google Scholar 

  8. De Pablos J. and Canadell J. ‘Methods of bone lengthening and their application’. Serv Public UnivNavarra, 1990.

    Google Scholar 

  9. Monticelli G. and Spinelli R. ‘Leg lengthening by closed metaphyseal corticotomy’. Ital J Orthop Traumatol 1983; 9:139–52.

    PubMed  CAS  Google Scholar 

  10. Wagner H. ‘Operative lengthening of the femur’. Clin Orthop 1978; 136: 125–42.

    PubMed  Google Scholar 

  11. Kojimoto H., Yasui N., Goto T., Matsuda S. and Shimomura Y. ‘Bone lengthening in rabbits by callus distraction’. J Bone Joint Surg[Br] 1988; 70-B: 543–549.

    Google Scholar 

  12. Yasui N., Kojimoto H., Shimizu H. and Shimomura Y. ‘The effect of distraction upon bone, muscle, and periosteum’. Orthop Clin North Am 1991; 22: 563–7.

    PubMed  CAS  Google Scholar 

  13. Yasui N., Kojimoto H., Sasaki K., Kitada A., Shimizu H. and Shimomura Y. ‘Factors affecting callus distraction in limb lengthening’. Clin Orthop 1993; 293: 55–60.

    PubMed  Google Scholar 

  14. Wozney J.M. ‘Bone morphogenetic protein and their gene expression’ in Cellular and Molecular Biology of Bone (Nöda M. ed) Academic Press, San Diego, 1993.

    Google Scholar 

  15. Delloye C, Delefortrie G., Coutelier L and Vincent A. ‘Bone regenerate formation in cortical bone during distraction lengthening. An experimental study’. Clin Orthop 1990; 250: 34–42.

    PubMed  Google Scholar 

  16. Aronson J. et al ‘The histology of distraction osteogenesis using different external fixators’. Clin Orthop 1989; 241: 106–116.

    PubMed  Google Scholar 

  17. Paley D., Fleming B.S., Catagni M. Kristiansen T. and Pope M. ‘Mechanical evaluation of external fixators used in limb length¬ening’. Clin Orthop 1990; 250: 50–57.

    PubMed  Google Scholar 

  18. Yasui N., Kawabata H. and Nakanishi H. ‘Bilateral and bifocal lengthening in the tibia and the femur using a segmental slide lengthener’. Int J Orthop Trauma 1993; 3: 87–88.

    Google Scholar 

  19. Albright J.A. ‘Bone: Physical properties’. in The Scientific Basis of Orthopaedics Appleton Century Croft, New York, 1979.

    Google Scholar 

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© 2000 Springer-Verlag London Limited

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Yasui, N., Kojimoto, H. (2000). The Biology of Callus Distraction: Callotasis. In: De Bastiani, G., Apley, A.G., Goldberg, A. (eds) Orthofix External Fixation in Trauma and Orthopaedics. Springer, London. https://doi.org/10.1007/978-1-4471-0691-3_3

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  • DOI: https://doi.org/10.1007/978-1-4471-0691-3_3

  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-1178-8

  • Online ISBN: 978-1-4471-0691-3

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