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The Journal of Bone and Joint Surgery 78:1287-8 (1996)
© 1996 The Journal of Bone and Joint Surgery, Inc.

Correspondence

Correspondence

Edward Abraham, M.D., Jon R. Davids, M.D., Leslie C. Meyer, M.D. and Dawn W. Blackhurst, M.S.

TO THE EDITOR:

In "Operative Treatment of Bone Overgrowth in Children Who Have an Acquired or Congenital Amputation" (77-A: 1490–1497, Oct. 1995), Davids et al. reported on extensive clinical experience from the Limb Deficiency Clinic during a thirty-year period. In dispute is the role of the growth plate in patients who need revision of the stump.

The authors stated: "Currently, it is recognized that osseous overgrowth is a local phenomenon, occurring primarily at the distal end of the residual limb." To support this current opinion, they referred to six references3,5,7,9,10,12, five of which were published between 1963 and 1979. The recent (1992) reference10 was based on a study published in 1976.

My coauthors and I wrestled with the same issue when we reviewed the cases of our patients1. We also concluded that osseous overgrowth is a local phenomenon caused by endosteal and periosteal new-bone formation. However, we did . . . [Full Text of this Article]


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