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.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
De Bastiani G., Aldegheri R., Renzi Brivio L. and Trivella G. ‘Limb lengthening by callus distraction (callotasis)’. J Pediatr Orthop 1987; 7:129–134.
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.
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.
Paley D. ‘Current techniques of limb lengthening’. J Pediatr Orthop 1988; 8:73–92.
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.
Dalmonte A. and Donzelli D. ‘Comparison of different methods of leg lengthening’. J Pediatr Orthop 1988; 8:62–71.
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.
De Pablos J. and Canadell J. ‘Methods of bone lengthening and their application’. Serv Public UnivNavarra, 1990.
Monticelli G. and Spinelli R. ‘Leg lengthening by closed metaphyseal corticotomy’. Ital J Orthop Traumatol 1983; 9:139–52.
Wagner H. ‘Operative lengthening of the femur’. Clin Orthop 1978; 136: 125–42.
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.
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.
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.
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.
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.
Aronson J. et al ‘The histology of distraction osteogenesis using different external fixators’. Clin Orthop 1989; 241: 106–116.
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.
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.
Albright J.A. ‘Bone: Physical properties’. in The Scientific Basis of Orthopaedics Appleton Century Croft, New York, 1979.
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2000 Springer-Verlag London Limited
About this chapter
Cite this chapter
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
Download citation
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
eBook Packages: Springer Book Archive