Metacarpal and phalangeal lengthening by callus distraction

The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand
S Houshian, T Ipsen

Abstract

Twelve metacarpals and two phalanges in 14 patients (nine males and five females) were lengthened between August 1992 and March 1999 by the callus distraction technique using a small external fixator (Orthofix). The indications were traumatic amputation (10 cases), aplasia (three cases) and hypoplasia owing to premature epiphyseal closure of the metacarpal (one case). All patients were reviewed with a median follow-up time of 39 (range, 9-88) months. The median age of the patients was 15 (range, 4-39) years. The median lengthening was 21 (range, 13-34) mm which was a median of 82% (range, 38-162) of the original bone length. The median times for callus distraction and consolidation were 4.5 and 7.5 weeks respectively. All except one patient tolerated the procedure well and were satisfied with the results. Functional improvement was seen in 13 out of 14 patients, but non-union was observed in one patient.

References

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Citations

Oct 1, 2012·Trauma Monthly·Shahram NazeraniBardia Bidarmaghz
Nov 24, 2012·The Journal of Hand Surgery·Jefferson Braga-Silva, Alexandre V Padoin
Aug 6, 2011·Orthopedics·Alexander D Volpi, Austin T Fragomen
Mar 14, 2007·Chirurgie de la main·D ValentiG Magalon
Feb 25, 2015·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·J W KuhbierP M Vogt
Sep 9, 2016·The Journal of Bone and Joint Surgery. American Volume·Sebastian FarrWerner Girsch
Sep 24, 2016·The Journal of Hand Surgery, European Volume·C DanaS Pannier
Jul 9, 2008·The Journal of Hand Surgery, European Volume·C Y HeoM S Chung
Jun 15, 2012·The Journal of Trauma and Acute Care Surgery·Gamal Ahmad Hosny, Wael Abdelaziz Kandel
Nov 10, 2013·Journal of Pediatric Orthopedics. Part B·Majed IssaIsmat Ghanem
Dec 9, 2010·The Journal of Bone and Joint Surgery. American Volume·William H SeitzRyan W Patterson
Aug 18, 2006·Journal of Orthopaedic Surgery·M E BozanH Durmaz

Related Concepts

Amputation, Traumatic
Medical Device Design
Finger Injuries
Fingers
Metacarpal Bone
Postoperative Complications
External Fixation Devices
Osteogenesis, Distraction

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