Progressive lengthening of short congenital forearm stump in children for prosthetic fitting

International Orthopaedics
Dmitry Popkov, Arnold Popkov

Abstract

The sufficient length of congenital forearm stump is essential for prosthetic fitting. In our study we reviewed the results of a series of forearm stump lengthening, observed complications and their outcomes. We evaluated possibilities of combined technique to reduce or avoid problems and complications in forearm stump lengthening. We retrospectively reviewed 18 children who have undergone forearm stump lengthening. In all patients the forearm lengthening was performed by means of Ilizarov frame. Additional flexible intramedullary nailing (FIN) was applied in two cases. The mean lengthening gain was 4.6 cm. The planned lengthening gain was obtained in all cases. The mean healing index (HI) was 34.1 days/cm. The most reduced HI was observed in two cases of combined technique (Ilizarov frame with FIN): 25.4 and 27.0 days/cm. Considering complications and outcomes the results were classified according to Lascombes: grade I--5 cases, IIa--10 cases, IIb--2 cases, IIIa--1 case. In the long term follow-up all patients used their prostheses fixed at the forearm stump with natural function of elbow joint. Forearm progressive lengthening in children with congenital transverse deficiency of the forearm is justified in order to facilitate ...Continue Reading

References

Nov 1, 1989·The Journal of Hand Surgery·W H Seitz
Jan 1, 1995·Annales de chirurgie de la main et du membre supérieur : organe officiel des sociétés de chirurgie de la main = Annals of hand and upper limb surgery·P Y MilliezJ M Thomine
Apr 1, 1996·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·M AbeT Onomura
Feb 7, 2001·The Journal of Bone and Joint Surgery. British Volume·C AlekberovI Günal
Oct 29, 2002·Journal of Orthopaedic Surgery·Sanjay Jain, P K Lakhtakia
Oct 24, 2003·Prosthetics and Orthotics International·H OrhunB Kavakh
Apr 8, 2006·Journal of Pediatric Orthopedics. Part B·Barbara JasiewiczDaniel Zarzycki
Jun 8, 2006·The Journal of Bone and Joint Surgery. American Volume·Jon R DavidsDawn W Blackhurst
Dec 25, 2007·Journal of Pediatric Orthopedics·Robert M BernsteinYoshio Setoguchi
Nov 26, 2010·Journal of Pediatric Orthopedics·Dmitry PopkovPierre Lascombes
Sep 18, 2012·Orthopaedics & Traumatology, Surgery & Research : OTSR·P LascombesP Journeau
May 29, 2013·International Orthopaedics·Alexander V GubinTatiana A Malkova
Dec 24, 2014·Revista española de cirugía ortopédica y traumatología·A Dabaghi-RicherandR Capdevila-Leonori

❮ Previous
Next ❯

Citations

Nov 9, 2016·Journal of Children's Orthopaedics·Dmitry PopkovArnold Popkov

❮ Previous
Next ❯

Related Concepts

Related Feeds

Auditory Perception

Auditory perception is the ability to receive and interpret information attained by the ears. Here is the latest research on factors and underlying mechanisms that influence auditory perception.