Bone lengthening for congenital differences of the hands and digits in children

The Journal of Hand Surgery
Takahiro MatsunoMitsuo Ochi

Abstract

We investigated the growth of bones after lengthening to evaluate the effectiveness and usefulness of bone lengthening in congenital hand deficiencies. Bone lengthening was performed to treat congenital hand deficiencies including hypoplastic thumb, hypoplasia of the small finger, cleft hand, metacarpal synostosis, brachymetacarpia, symbrachydactyly, and amniotic band syndrome. A total of 15 patients (1-13 years old) underwent lengthening of 23 bones. The average of distraction was 10 mm. The mean follow-up period was 59 months. The length of the bones at follow-up evaluation was measured and then compared with the length of the bones immediately after lengthening. The bone growth after lengthening, the percentage of growth after lengthening, and the growth rate were compared among diagnostic groups. In the cases involving older patients the bone length changed little and the growth plates of these patients closed naturally soon after lengthening. In contrast, in the cases in which the patients were younger than 7 years old the lengthened bones grew continuously. The amount of bone growth was different for each disease in the younger patients. In patients with amniotic band syndrome the lengthened bones grew at the same rate as...Continue Reading

References

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Citations

Aug 1, 1990·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·P J Livesley
Oct 30, 2013·Hand Surgery : an International Journal Devoted to Hand and Upper Limb Surgery and Related Research : Journal of the Asia-Pacific Federation of Societies for Surgery of the Hand·Kousuke IbaToshihiko Yamashita
Aug 6, 2011·Orthopedics·Alexander D Volpi, Austin T Fragomen
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Jun 15, 2016·Der Orthopäde·F UnglaubC K Spies
Jun 17, 2016·International Journal of Occupational Safety and Ergonomics : JOSE·Yong-Ku KongJoonho Chang
Sep 9, 2016·The Journal of Bone and Joint Surgery. American Volume·Sebastian FarrWerner Girsch
Oct 5, 2016·Hand : Official Journal of the American Association for Hand Surgery·Parker B GoodellMichelle A James
Jul 25, 2008·Annals of Plastic Surgery·Ji Yeon Kim, Sung Tack Kwon
Nov 10, 2013·Journal of Pediatric Orthopedics. Part B·Majed IssaIsmat Ghanem
Jan 21, 2021·Journal of Plastic Surgery and Hand Surgery·Kousuke IbaToshihiko Yamashita
Dec 5, 2020·Clinics in Orthopedic Surgery·Yong Jin ChoSung Taek Jung

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