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Published in: Osteoporosis International 6/2011

01-06-2011 | Bone Quality Seminars: Bone Fracture Healing and Strengthening

Bone lengthening (distraction osteogenesis): a literature review

Author: F. Sailhan

Published in: Osteoporosis International | Issue 6/2011

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Abstract

Distraction osteogenesis (DO) is a surgical technique widely used in orthopedic surgery for the treatment of various pathological conditions such as leg length discrepancy, bone deformity or bone defects. The basic principle of the callotasis technique includes performing a transverse bone section before gradually distracting the two bone segments. New bone tissue is generated in the gap between the two segments. Bone regeneration during DO is believed to occur in response to the longitudinal mechanical strain applied to the callus during healing. One of the limitations of this technique is the long period of time required for the newly formed bone tissue to mineralize and consolidate. Various studies have reported that among growth factors, bone morphogenetic proteins (BMPs) may play a central role in the molecular signaling cascade leading to bone renegeration and remodeling in a DO procedure. Ongoing research is aimed at developing methods to accelerate bone consolidation in order to reduce the time required to obtain consolidation. One of these methods is to test the ability of exogenous BMPs to increase bone regeneration and accelerate bone consolidation.
Literature
1.
go back to reference Korzinek K, Tepic S, Perren SM (1990) Limb lengthening and three-dimensional deformity corrections. A retrospective clinical study. Arch Orthop Trauma Surg 109(6):334–340PubMedCrossRef Korzinek K, Tepic S, Perren SM (1990) Limb lengthening and three-dimensional deformity corrections. A retrospective clinical study. Arch Orthop Trauma Surg 109(6):334–340PubMedCrossRef
2.
go back to reference Moseley CF (1989) Assessment and prediction in leg-length discrepancy. Instr Course Lect 38:325–330PubMed Moseley CF (1989) Assessment and prediction in leg-length discrepancy. Instr Course Lect 38:325–330PubMed
3.
go back to reference Moseley CF (1989) Leg lengthening. A review of 30 years. Clin Orthop 247:38–43PubMed Moseley CF (1989) Leg lengthening. A review of 30 years. Clin Orthop 247:38–43PubMed
4.
go back to reference Paley D (1990) Problems, obstacles, and complications of limb lengthening by the Ilizarov technique. Clin Orthop Relat Res 250:81–104PubMed Paley D (1990) Problems, obstacles, and complications of limb lengthening by the Ilizarov technique. Clin Orthop Relat Res 250:81–104PubMed
5.
go back to reference Codivilla A (1905) On the means of lengthening, in the lower limbs, the muscles and tissues which are shortened through deformity. Am J Orthop Surg 2:353–369 Codivilla A (1905) On the means of lengthening, in the lower limbs, the muscles and tissues which are shortened through deformity. Am J Orthop Surg 2:353–369
6.
go back to reference Ilizarov GA (1989) The tension-stress effect on the genesis and growth of tissues. Part I. The influence of stability of fixation and soft-tissue preservation. Clin Orthop 238:249–281PubMed Ilizarov GA (1989) The tension-stress effect on the genesis and growth of tissues. Part I. The influence of stability of fixation and soft-tissue preservation. Clin Orthop 238:249–281PubMed
7.
go back to reference Ilizarov GA (1989) The tension-stress effect on the genesis and growth of tissues: part II. The influence of the rate and frequency of distraction. Clin Orthop 239:263–285PubMed Ilizarov GA (1989) The tension-stress effect on the genesis and growth of tissues: part II. The influence of the rate and frequency of distraction. Clin Orthop 239:263–285PubMed
8.
go back to reference De Bastiani G, Aldegheri R, Renzi-Brivio L, Trivella G (1987) Limb lengthening by callus distraction (callotasis). J Pediatr Orthop 7(2):129–134PubMedCrossRef De Bastiani G, Aldegheri R, Renzi-Brivio L, Trivella G (1987) Limb lengthening by callus distraction (callotasis). J Pediatr Orthop 7(2):129–134PubMedCrossRef
9.
go back to reference Aronson J (1994) Temporal and spatial increases in blood flow during distraction osteogenesis. Clin Orthop Relat Res 301:124–131PubMed Aronson J (1994) Temporal and spatial increases in blood flow during distraction osteogenesis. Clin Orthop Relat Res 301:124–131PubMed
10.
go back to reference Aronson J, Good B, Stewart C, Harrison B, Harp J (1990) Preliminary studies of mineralization during distraction osteogenesis. Clin Orthop Relat Res 250:43–49PubMed Aronson J, Good B, Stewart C, Harrison B, Harp J (1990) Preliminary studies of mineralization during distraction osteogenesis. Clin Orthop Relat Res 250:43–49PubMed
11.
go back to reference Aronson J, Harrison B, Boyd CM, Cannon DJ, Lubansky HJ, Stewart C (1988) Mechanical induction of osteogenesis. Preliminary studies. Ann Clin Lab Sci 18(3):195–203PubMed Aronson J, Harrison B, Boyd CM, Cannon DJ, Lubansky HJ, Stewart C (1988) Mechanical induction of osteogenesis. Preliminary studies. Ann Clin Lab Sci 18(3):195–203PubMed
12.
go back to reference Aronson J, Harrison BH, Stewart CL, Harp JH Jr (1989) The histology of distraction osteogenesis using different external fixators. Clin Orthop 241:106–116PubMed Aronson J, Harrison BH, Stewart CL, Harp JH Jr (1989) The histology of distraction osteogenesis using different external fixators. Clin Orthop 241:106–116PubMed
13.
go back to reference Ali MN, Ejiri S, Kobayashi T et al (2009) Histologic study of the cellular events during rat mandibular distraction osteogenesis. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 107(3):325–335PubMedCrossRef Ali MN, Ejiri S, Kobayashi T et al (2009) Histologic study of the cellular events during rat mandibular distraction osteogenesis. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 107(3):325–335PubMedCrossRef
14.
go back to reference Ai-Aql ZS, Alagl AS, Graves DT, Gerstenfeld LC, Einhorn TA (2008) Molecular mechanisms controlling bone formation during fracture healing and distraction osteogenesis. J Dent Res 87(2):107–118PubMedCrossRef Ai-Aql ZS, Alagl AS, Graves DT, Gerstenfeld LC, Einhorn TA (2008) Molecular mechanisms controlling bone formation during fracture healing and distraction osteogenesis. J Dent Res 87(2):107–118PubMedCrossRef
15.
go back to reference Aronson J (1994) Experimental and clinical experience with distraction osteogenesis. Cleft Palate Craniofac J 31(6):473–481, discussion 481–472PubMedCrossRef Aronson J (1994) Experimental and clinical experience with distraction osteogenesis. Cleft Palate Craniofac J 31(6):473–481, discussion 481–472PubMedCrossRef
16.
go back to reference Sato M, Yasui N, Nakase T et al (1998) Expression of bone matrix proteins mRNA during distraction osteogenesis. J Bone Miner Res 13(8):1221–1231PubMedCrossRef Sato M, Yasui N, Nakase T et al (1998) Expression of bone matrix proteins mRNA during distraction osteogenesis. J Bone Miner Res 13(8):1221–1231PubMedCrossRef
17.
go back to reference Vauhkonen M, Peltonen J, Karaharju E, Aalto K, Alitalo I (1990) Collagen synthesis and mineralization in the early phase of distraction bone healing. Bone Miner 10(3):171–181PubMedCrossRef Vauhkonen M, Peltonen J, Karaharju E, Aalto K, Alitalo I (1990) Collagen synthesis and mineralization in the early phase of distraction bone healing. Bone Miner 10(3):171–181PubMedCrossRef
18.
go back to reference Delloye C, Delefortrie G, Coutelier L, Vincent A (1990) Bone regenerate formation in cortical bone during distraction lengthening. An experimental study. Clin Orthop 250:34–42PubMed Delloye C, Delefortrie G, Coutelier L, Vincent A (1990) Bone regenerate formation in cortical bone during distraction lengthening. An experimental study. Clin Orthop 250:34–42PubMed
19.
go back to reference Kojimoto H, Yasui N, Goto T, Matsuda S, Shimomura Y (1988) Bone lengthening in rabbits by callus distraction. The role of periosteum and endosteum. J Bone Joint Surg Br 70(4):543–549PubMed Kojimoto H, Yasui N, Goto T, Matsuda S, Shimomura Y (1988) Bone lengthening in rabbits by callus distraction. The role of periosteum and endosteum. J Bone Joint Surg Br 70(4):543–549PubMed
20.
go back to reference Fink B, Pollnau C, Vogel M, Skripitz R, Enderle A (2003) Histomorphometry of distraction osteogenesis during experimental tibial lengthening. J Orthop Trauma 17(2):113–118PubMedCrossRef Fink B, Pollnau C, Vogel M, Skripitz R, Enderle A (2003) Histomorphometry of distraction osteogenesis during experimental tibial lengthening. J Orthop Trauma 17(2):113–118PubMedCrossRef
21.
go back to reference Yasui N, Sato M, Ochi T et al (1997) Three modes of ossification during distraction osteogenesis in the rat. J Bone Joint Surg Br 79(5):824–830PubMedCrossRef Yasui N, Sato M, Ochi T et al (1997) Three modes of ossification during distraction osteogenesis in the rat. J Bone Joint Surg Br 79(5):824–830PubMedCrossRef
22.
go back to reference Jazrawi LM, Majeska RJ, Klein ML, Kagel E, Stromberg L, Einhorn TA (1998) Bone and cartilage formation in an experimental model of distraction osteogenesis. J Orthop Trauma 12(2):111–116PubMedCrossRef Jazrawi LM, Majeska RJ, Klein ML, Kagel E, Stromberg L, Einhorn TA (1998) Bone and cartilage formation in an experimental model of distraction osteogenesis. J Orthop Trauma 12(2):111–116PubMedCrossRef
23.
go back to reference Choi SH, Kim CK, Cho KS et al (2002) Effect of recombinant human bone morphogenetic protein-2/absorbable collagen sponge (rhBMP-2/ACS) on healing in 3-wall intrabony defects in dogs. J Periodontol 73(1):63–72PubMedCrossRef Choi SH, Kim CK, Cho KS et al (2002) Effect of recombinant human bone morphogenetic protein-2/absorbable collagen sponge (rhBMP-2/ACS) on healing in 3-wall intrabony defects in dogs. J Periodontol 73(1):63–72PubMedCrossRef
24.
go back to reference Li G, Virdi AS, Ashhurst DE, Simpson AH, Triffitt JT (2000) Tissues formed during distraction osteogenesis in the rabbit are determined by the distraction rate: localization of the cells that express the mRNAs and the distribution of types I and II collagens. Cell Biol Int 24(1):25–33PubMedCrossRef Li G, Virdi AS, Ashhurst DE, Simpson AH, Triffitt JT (2000) Tissues formed during distraction osteogenesis in the rabbit are determined by the distraction rate: localization of the cells that express the mRNAs and the distribution of types I and II collagens. Cell Biol Int 24(1):25–33PubMedCrossRef
25.
go back to reference Feng X, Tuo X, Chen F et al (2008) Ultrastructural cell response to tension stress during mandibular distraction osteogenesis. Br J Oral Maxillofac Surg 46(7):527–532PubMedCrossRef Feng X, Tuo X, Chen F et al (2008) Ultrastructural cell response to tension stress during mandibular distraction osteogenesis. Br J Oral Maxillofac Surg 46(7):527–532PubMedCrossRef
26.
go back to reference Neidlinger-Wilke C, Wilke HJ, Claes L (1994) Cyclic stretching of human osteoblasts affects proliferation and metabolism: a new experimental method and its application. J Orthop Res 12(1):70–78PubMedCrossRef Neidlinger-Wilke C, Wilke HJ, Claes L (1994) Cyclic stretching of human osteoblasts affects proliferation and metabolism: a new experimental method and its application. J Orthop Res 12(1):70–78PubMedCrossRef
27.
go back to reference Marukawa K, Ueki K, Alam S, Shimada M, Nakagawa K, Yamamoto E (2006) Expression of bone morphogenetic protein-2 and proliferating cell nuclear antigen during distraction osteogenesis in the mandible in rabbits. Br J Oral Maxillofac Surg 44(2):141–145PubMedCrossRef Marukawa K, Ueki K, Alam S, Shimada M, Nakagawa K, Yamamoto E (2006) Expression of bone morphogenetic protein-2 and proliferating cell nuclear antigen during distraction osteogenesis in the mandible in rabbits. Br J Oral Maxillofac Surg 44(2):141–145PubMedCrossRef
28.
go back to reference Hamdy RC, Amako M, Beckman L et al (2003) Effects of osteogenic protein-1 on distraction osteogenesis in rabbits. Bone 33(2):248–255PubMedCrossRef Hamdy RC, Amako M, Beckman L et al (2003) Effects of osteogenic protein-1 on distraction osteogenesis in rabbits. Bone 33(2):248–255PubMedCrossRef
29.
go back to reference Rauch F, Lauzier D, Croteau S, Travers R, Glorieux FH, Hamdy R (2000) Temporal and spatial expression of bone morphogenetic protein-2, -4, and -7 during distraction osteogenesis in rabbits. Bone 27(3):453–459PubMedCrossRef Rauch F, Lauzier D, Croteau S, Travers R, Glorieux FH, Hamdy R (2000) Temporal and spatial expression of bone morphogenetic protein-2, -4, and -7 during distraction osteogenesis in rabbits. Bone 27(3):453–459PubMedCrossRef
30.
go back to reference Sato M, Ochi T, Nakase T et al (1999) Mechanical tension-stress induces expression of bone morphogenetic protein (BMP)-2 and BMP-4, but not BMP-6, BMP-7, and GDF-5 mRNA, during distraction osteogenesis. J Bone Miner Res 14(7):1084–1095PubMedCrossRef Sato M, Ochi T, Nakase T et al (1999) Mechanical tension-stress induces expression of bone morphogenetic protein (BMP)-2 and BMP-4, but not BMP-6, BMP-7, and GDF-5 mRNA, during distraction osteogenesis. J Bone Miner Res 14(7):1084–1095PubMedCrossRef
31.
go back to reference Cheung LK, Zheng LW (2006) Effect of recombinant human bone morphogenetic protein-2 on mandibular distraction at different rates in an experimental model. J Craniofac Surg 17(1):100–108, discussion 109–110PubMedCrossRef Cheung LK, Zheng LW (2006) Effect of recombinant human bone morphogenetic protein-2 on mandibular distraction at different rates in an experimental model. J Craniofac Surg 17(1):100–108, discussion 109–110PubMedCrossRef
32.
go back to reference Campisi P, Hamdy RC, Lauzier D, Amako M, Rauch F, Lessard ML (2003) Expression of bone morphogenetic proteins during mandibular distraction osteogenesis. Plast Reconstr Surg 111(1):201–208, discussion 209–210PubMedCrossRef Campisi P, Hamdy RC, Lauzier D, Amako M, Rauch F, Lessard ML (2003) Expression of bone morphogenetic proteins during mandibular distraction osteogenesis. Plast Reconstr Surg 111(1):201–208, discussion 209–210PubMedCrossRef
33.
go back to reference Haque T, Hamade F, Alam N et al (2008) Characterizing the BMP pathway in a wild type mouse model of distraction osteogenesis. Bone 42(6):1144–1153PubMedCrossRef Haque T, Hamade F, Alam N et al (2008) Characterizing the BMP pathway in a wild type mouse model of distraction osteogenesis. Bone 42(6):1144–1153PubMedCrossRef
34.
go back to reference Kawabata M, Imamura T, Miyazono K (1998) Signal transduction by bone morphogenetic proteins. Cytokine Growth Factor Rev 9(1):49–61PubMedCrossRef Kawabata M, Imamura T, Miyazono K (1998) Signal transduction by bone morphogenetic proteins. Cytokine Growth Factor Rev 9(1):49–61PubMedCrossRef
35.
go back to reference Nohe A, Keating E, Knaus P, Petersen NO (2004) Signal transduction of bone morphogenetic protein receptors. Cell Signal 16(3):291–299PubMedCrossRef Nohe A, Keating E, Knaus P, Petersen NO (2004) Signal transduction of bone morphogenetic protein receptors. Cell Signal 16(3):291–299PubMedCrossRef
36.
go back to reference Canalis E, Economides AN, Gazzerro E (2003) Bone morphogenetic proteins, their antagonists, and the skeleton. Endocr Rev 24(2):218–235PubMedCrossRef Canalis E, Economides AN, Gazzerro E (2003) Bone morphogenetic proteins, their antagonists, and the skeleton. Endocr Rev 24(2):218–235PubMedCrossRef
37.
go back to reference Haque T, Mandu-Hrit M, Rauch F, Lauzier D, Tabrizian M, Hamdy RC (2006) Immunohistochemical localization of bone morphogenetic protein-signaling Smads during long-bone distraction osteogenesis. J Histochem Cytochem 54(4):407–415PubMedCrossRef Haque T, Mandu-Hrit M, Rauch F, Lauzier D, Tabrizian M, Hamdy RC (2006) Immunohistochemical localization of bone morphogenetic protein-signaling Smads during long-bone distraction osteogenesis. J Histochem Cytochem 54(4):407–415PubMedCrossRef
38.
go back to reference Li G, Bouxsein ML, Luppen C et al (2002) Bone consolidation is enhanced by rhBMP-2 in a rabbit model of distraction osteogenesis. J Orthop Res 20(4):779–788PubMedCrossRef Li G, Bouxsein ML, Luppen C et al (2002) Bone consolidation is enhanced by rhBMP-2 in a rabbit model of distraction osteogenesis. J Orthop Res 20(4):779–788PubMedCrossRef
39.
go back to reference Mizumoto Y, Moseley T, Drews M, Cooper VN 3rd, Reddi AH (2003) Acceleration of regenerate ossification during distraction osteogenesis with recombinant human bone morphogenetic protein-7. J Bone Joint Surg Am 85-A(Suppl 3):124–130PubMed Mizumoto Y, Moseley T, Drews M, Cooper VN 3rd, Reddi AH (2003) Acceleration of regenerate ossification during distraction osteogenesis with recombinant human bone morphogenetic protein-7. J Bone Joint Surg Am 85-A(Suppl 3):124–130PubMed
40.
go back to reference Sailhan F, Chotel F, Chousta A, Viguier E, Boivin G (2007) Unexpected absence of effect of rhBMP-7 on distraction osteogenesis. Clin Orthop Relat Res 457:227–234PubMed Sailhan F, Chotel F, Chousta A, Viguier E, Boivin G (2007) Unexpected absence of effect of rhBMP-7 on distraction osteogenesis. Clin Orthop Relat Res 457:227–234PubMed
41.
go back to reference Sailhan F, Gleyzolle B, Parot R, Guerini H, Viguier E (2010) Rh-BMP-2 in distraction osteogenesis: dose effect and premature consolidation. Injury 41(7):680–686PubMedCrossRef Sailhan F, Gleyzolle B, Parot R, Guerini H, Viguier E (2010) Rh-BMP-2 in distraction osteogenesis: dose effect and premature consolidation. Injury 41(7):680–686PubMedCrossRef
Metadata
Title
Bone lengthening (distraction osteogenesis): a literature review
Author
F. Sailhan
Publication date
01-06-2011
Publisher
Springer-Verlag
Published in
Osteoporosis International / Issue 6/2011
Print ISSN: 0937-941X
Electronic ISSN: 1433-2965
DOI
https://doi.org/10.1007/s00198-011-1613-2

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