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STRETCHING THE BODY?S POWER TO GROW
At age 9, Angelica Roderick stood, when she could stand at all, at 3 feet, 7 inches. Most of the time she kept to her wheel-chair because the bones of her lower legs did not sit properly in her knee sockets. Angelica, now 11, was born with a disease that curved and slowed the growth of her leg bones.
Ten thousand miles from Angelica’s home in Queens, New York, was the Russian bone doctor who discovered a cure for her condition 29 years ago. They met briefly in the United States in 1987.
The doctor is Gavriil A. Ilizarov, who created a method that has straightened and lengthened bones for thousands. They include midgets, athletes with twisted limbs, persons with a short arm or leg, victims of accidents, and cancer patients with chunks of bone missing.
“It is the answer to some people’s prayers,” says Dr. Victor H. Frankel, president of New York’s Hospital for Joint Diseases Orthopedic Institute. In 1986, Dr. Frankel became the first surgeon in this country to use the Ilizarov method.
Dr. Ilizarov has gone beyond inventing a new technique by making a fundamental discovery. He has found a way to make old bone grow as if newborn. In the end, the new bone is as strong as the original bone.
“It is remarkable,” says Dr. Frankel. “If you stretch the limb very slowly after dividing the bone, you get not only new bone but also longer muscles, tendons, and nerves. I’ve lengthened some kids’ height by 7 inches. Ilizarov has gone 12 to 14 inches. We have filled in gaps of bone 4 to 5 inches in length.”
Dr. Ilizarov’s technique should not be confused with another remarkable achievement: Dr. Michael Lewis at Mount Sinai Medical Center in New York has invented a titanium alloy replacement for bone, which is extended as needed by the surgeon. If a child loses a leg bone to cancer, for example, Dr. Lewis can implant his device, maneuvering it to “grow” as the child grows.
In October 1987, Frankel’s colleague, Dr. Wallace Lehman, who is head of pediatrics at the Orthopedic Institute, began stretching Angelica’s leg bones, using the Ilizarov technique. First, Dr. Lehman cut open each leg, exposing the bone. With a chisel, he carefully cracked a narrow ring in the outer shell of bone.
Dr. Ilizarov discovered that if, at this point, the broken bone is put under tension – if pulled – it will grow. New cells will be produced to fill the gap. And as long as you pull on it, the bone will grow. That’s a revolutionary and breathtaking biological principle.
He invented a “fixator.” Imagine two metal rings circling the leg, separated by about 6 inches, like the hoops at the top and bottom of a barrel. Three rigid rods – long screws – hold the hoops fixed. The rods can be lengthened and the rings pushed apart simply by turning the screws.
Lehman then attached wires to the rings and to Angelica’s bones, above and below the broken area. By turning the screws, the bones are put under tension. The screws are advanced by 1 millimeter (1/25th of an inch) a day. In 25 days, the bones are extended 1 inch.
By June 1988, Lehman had stretched Angelica’s legs by 5 inches and had straightened their terrible curves. She also grew 4 inches on her own. At age 11, she is now 4 feet, 5 – an inch taller than her mother, Antoinette Roderick, who also stopped growing as a child.
“Children can be very cruel to other children with deformities,” says Mrs. Roderick. “I hope Angelica won’t suffer what I went through. Her legs are perfectly straight and gorgeous.”
The bone stretching was painful for Angelica, although not everybody experiences pain to the same degree. “Now I’m walking great,” she says. “My legs don’t hurt very often anymore. I’m glad I did it.”
*46/266/5*

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