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Books > Medicine > Clinical & internal medicine > Paediatric medicine
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Pediatric Bone Sarcomas - Epiphysiolysis before excision (Paperback, 2009 ed.)
Loot Price: R1,485
Discovery Miles 14 850
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Pediatric Bone Sarcomas - Epiphysiolysis before excision (Paperback, 2009 ed.)
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Sparing of the growth plate is an early feature of diaphyseal and
meta-diaphyseal osteosarcoma. Capitalising on this characteristic,
Jose Canadell has developed an innovative technique to preserve the
epiphysis while resecting primary bone malignancies lying adjacent
to the growth plate of skeletally immature patients. Using external
? xation devices, controlled distraction of the epiphysis from the
growth plate permits iatrogenic separation of the epiphysis from
the affected region. Subsequent resection is enhanced by a safe
distal margin and Canadell's local control rates attest to the
success of the procedure as an oncologically sound technique. The
Canadell technique has been developed through rigorous examination
of the behaviour of osteosarcoma, as well as an interrogation of
the best modalities for assessing tumour invasion of the growth
plate. Combining an innovative treatment philosophy with a sound
knowledge of the behaviour of osteosarcoma and basic bone and
growth plate biology, as well as an extensive experience with
ancillary investigations and adjuvant therapies, Canadell has
developed a robust surgical technique for the management of a
challenging tumour in selected patients. This book is the
culmination of Canadell's endeavours over the last two decades. It
traces the steps that he has taken to validate the safety and ef?
cacy of the Canadell technique as we know it today.
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