Strategies in Trauma and Limb Reconstruction

Register      Login

VOLUME 10 , ISSUE 1 ( April, 2015 ) > List of Articles

Original Article

Limb reconstruction in Ollier\'s disease

S. S. Madan, K. Robinson, P. D. Kasliwal, M. J. Bell, M. Saleh, J. A. Fernandes

Keywords : Ollier\'s dysplasia, Ollier\'s deformity, Ollier\'s limb reconstruction

Citation Information : Madan SS, Robinson K, Kasliwal PD, Bell MJ, Saleh M, Fernandes JA. Limb reconstruction in Ollier\'s disease. 2015; 10 (1):49-54.

DOI: 10.1007/s11751-015-0223-5

License: CC BY-NC-SA 4.0

Published Online: 30-04-2015

Copyright Statement:  Copyright © 2015; Jaypee Brothers Medical Publishers (P) Ltd.


We present our experience of lengthening and correction of complex deformities in the management of patients with Ollier\'s dysplasia (multiple enchondromatosis) from 1985 and 2002. All patients were under 18 years with a minimum follow-up time of 2 years (mean 9.6 years, range 2–15 years). There were a total of ten patients of which seven were male and three female. The mean age at presentation was 10.7 years (range 5–17 years; SD 3.7 years). The total length gain was 42.3 mm (range 30–110 mm; SD 28.9 mm). The number of days in external fixation was 164.8 days (range 76–244 days; SD 42.9 days). The bone healing index was 32.5 days/cm (18–50 days/cm; SD 10.3 days/cm). Patients with Ollier\'s disease have limb length inequality and angular deformities and require multiple reconstructive procedures owing to a high incidence of recurrence. We identified a tendency for the osteotomy to prematurely consolidate and advise the latency period after surgery to be 4–5 days and for distraction to proceed at a faster rate.

PDF Share
  1. Ollier L (1900) De la dyschondroplasie. Bull Soc Chir Lyon 3:22-24
  2. Herring JA, 2002. Multiple Enchondromatosis. In Skeletal Dysplasias: Tachdjian's Pediatric Orthopaedics, 3rd edn. W B Saunders; Philadelphia, 1927-1929
  3. Schwartz HS, Zimmerman NB, Simon MA, Wroble RR, Millar EA, Bonfiglio M (1987) The malignant potential of enchondromatosis. J Bone Joint Surg Am 69:269-274
  4. Cannon SR, Sweetnam DR (1985) Multiple chondrosarcomas in dyschondroplasia (Ollier's disease). Cancer 15(55):836-840
  5. Liu J, Hudkins PG, Swee RG, Unni KK (1987) Bone sarcomas associated with Ollier's disease. Cancer 1(59):1376-1385
  6. Nazzar T, Ilizarov S, Fragomen AT, Rozbruch SR (2008) Humeral lengthening and deformity correction in Ollier's disease: distraction osteogenesis with a multiaxial correction frame. J Pediatr Ortho B 17:127-152
  7. Gordon JE, Kelly-Hahn J, Carpenter CJ, Schoenecker PL (2000) Pin site care during external fixation in children: results of a nihilistic approach. J Pediatr Orthop 20:163-165
  8. Donnan LT, Saleh M, Rigby AS (2003) Acute correction of lower limb deformity and simultaneous lengthening with a monolateral fixator. J Bone Joint Surg (Br) 85B(2):254-260
  9. Shapiro F (1982) Ollier's disease. an assessment of angular deformity, shortening, and pathological fracture in twenty-one patients. J Bone Joint Surg Am 64:95-103
  10. Chew DK, Menelaus MB, Richardson MD (1998) Ollier's disease: varus angulation at the lower femur and its management. J Pediatr Orthop 18:202-208
  11. Märtson A, Haviko T, Kirjanen K (2005) Extensive limb lengthening in Ollier's disease: 25-year follow-up. Medicina (Kaunas) 41(10):861-866
  12. D'Angelo G, Petas N, Donzelli O (1996) Lengthening of the lower limbs in Ollier's disease: problems related to surgery. Chir Organi Mov 81:279-285
  13. Baumgart R, Bürklein D, Hinterwimmer S, Thaller P, Mutschler W (2005) The management of leg-length discrepancy in Ollier's disease with a fully implantable lengthening nail. J Bone Joint Surg (Br) 87-B:1000-1004
  14. Watanabe K, Tsuchiya H, Sakurakichi K, Yamashiro T, Matsubara H (2007) Treatment of lower limb deformities and limblength discrepancies with the external fixator in Ollier's disease. J Orthop Sci 12:417-475
  15. Curran AR, Kuo KN, Lubicky JP (1999) Simultaneous ipsilateral femoral and tibial lengthening with the Ilizarov method. J Pediatr Orthop 19:386-390
  16. Tsuchiya H, Uehara K, Abdel-Wanis ME, Sakurakichi K, Kabata T, Tomita K (2002) Deformity correction followed by lengthening with the Ilizarov method. Clin Orthop Rel Res 402:176-183
  17. Sakurakichi K, Tsuchyia H, Kabata T, Yamashiro T, Watanabe K, Tomita K (2005) Correction of juxtaarticular deformities in children using the Ilizarov apparatus. J Orthop Sci 10:360-366
  18. Pandey R, White SH, Kenwright J (1995) Callus distraction in Ollier's disease. Acta Orthop Scand 66:479-480
  19. Jesus-Garcia R, Bongiovanni JC, Korukian M, Boatto H, Seixas MT, Laredo J (2001) Use of the Ilizarov external fixator in the treatment of patients with Ollier's disease. Clin Orthop 382:82-86
  20. Harris NL, Eilert RE, Davino N, Ruyle S, Edwardson M, Wilson V (1994) Osteogenic sarcoma arising from bony regenerate following Ilizarov femoral lengthening through fibrous dysplasia. J Pediatr Orthop 14:123-129
  21. Popkov D, Journeau P, Popkov A, Haumont T, Lascombes P (2010) Ollier's disease limb lengthening: should intramedullary nailing be combined with circular external fixator. Orthop Trauma 96:348-353
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.