Ilizarov Distraction-Lengthening in Congenital Anomalies of the Upper Limb

Hülsbergen-Krüger, S; Preisser, P; Bd, Partecke

doi:10.1016/s0266-7681(98)80173-3

Cited by 29 publications

(19 citation statements)

References 5 publications

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“…29 Foucher 20 reviewed results of distraction lengthening in 41 patients (22 with symbrachydactyly) and reported an average gain of 2.3 cm over 4 months. Complications included infection, nonunion, or fracture in 32%.…”

Section: Syndactyly and Web Contracturementioning

confidence: 99%

Symbrachydactyly

Goodell

Bauer

Sierra

et al. 2016

Hand (New York, N,Y.)

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Background: Symbrachydactyly is a unilateral congenital hand malformation characterized by failure of formation of fingers and the presence of rudimentary digit nubbins. The management is variable and are investigated in this review. Methods: a detailed review of the literature was compiled into succinct clinically relevant categories. Results: Etiology, classification, non-surgical management, surgical intervention, and patient oriented outcomes are discussed. Conclusions: all interventions should prioritize realistic, evidence-supported appearance and functional gains. Studies of the baseline function and quality of life of children with symbrachydactyly would allow surgeons to better understand functional changes associated with various interventions and would help surgeons and parents to make the best treatment decisions.

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Section: Syndactyly and Web Contracturementioning

confidence: 99%

Symbrachydactyly

Goodell

Bauer

Sierra

et al. 2016

Hand (New York, N,Y.)

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“…It can provide a source for enhanced prehension and gain functional length 1. This was used in this study in cases of traumatic amputation of phalanges and congenital amputation through phalanges.…”

Section: Discussionmentioning

confidence: 99%

“…The use of distraction histiogenesis in metacarpals and metatarsals is a new concept 1–9. These techniques have had some inherent problems like pin tract infection, non-union, and metacarpo phalangeal joint stiffness.…”

Section: Introductionmentioning

confidence: 99%

Metacarpal lengthening by distraction histiogenesis in adults

Das¹,

Mohanty²,

Das³

2009

Indian J Orthop

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Background:Metacarpal lengthening in the hand is a new application for distraction neo-histiogenesis. Metacarpal lengthening with distraction helps in improvement in pinch function. Thumb lengthening is technically easy in comparison to other metacarpals. We present the operative treatment and post-operative outcome in nine patients with amputations and congenital anomalies.Materials and Methods:Nine patients underwent distraction osteogenesis for the treatment of amputations of the hand and other congenital anomalies. The dominant right hand was operated in eight cases and the left hand in one case. There were six males and three females. Improvement of function was always the aim of surgery. Age range was between 18 and 23 years. Thumb lengthening was performed in five patients and that of the index finger in four patients. Distraction started on the fifth post-operative day at the rate of 0.25 mm/day. Sensory function and bone consolidation was assessed before fixator removal.Results:The mean duration of distraction was 51 days (range, 42–60 days) and the distractor was removed at a mean of 150 days (range, 140 and 160 days) and the bones were lengthened by a mean of 24 mm (range, 20–28 mm) There was improvement of function in all cases.Conclusion:The metacarpal lengthening by distraction histiogenesis in congenital and traumatic amputations is safe and simple method to improve pinch function of hand.

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“…La vitesse de distraction doit aussi être discutée puisqu'elle varie en fonction des données de la littérature, dans les cas de distraction par callotasis nous pensons qu'elle doit être comprise entre 0,25 et 0,5 mm/j pour permettre la formation du cal dans le cadre des anomalies congénitales [8] puisque dans tous nos cas nous avons utilisé la technique du callotasis sans avoir recours à la greffe osseuse secondaire. À cette vitesse, on évite les cas de fracture et pseudarthrose qui sont la conséquence d'un allongement trop rapide et les cas de fusion précoce dans les allongements trop lents [9].…”

Section: Discussionunclassified