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Titolo:
Progressive bone lengthening of the hand in congenital malformations
Autore:
Foucher, G; Pajardi, G; Lamas, C; Medina, J; Navarro, R;
Indirizzi:
SOS Main, Clin Parc, F-67000 Strasbourg, France SOS Main Strasbourg France F-67000 Clin Parc, F-67000 Strasbourg, France
Titolo Testata:
REVUE DE CHIRURGIE ORTHOPEDIQUE ET REPARATRICE DE L APPAREIL MOTEUR
fascicolo: 5, volume: 87, anno: 2001,
pagine: 451 - 458
SICI:
0035-1040(200109)87:5<451:PBLOTH>2.0.ZU;2-9
Fonte:
ISI
Lingua:
FRE
Soggetto:
DISTRACTION OSTEOGENESIS; RECONSTRUCTION; LIMB;
Keywords:
bone lengthening; callotasis; distraction; Matev; congenital hand malformations;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
38
Recensione:
Indirizzi per estratti:
Indirizzo: Foucher, G SOS Main, Clin Parc, 4 Blvd President Edwards, F-67000 Strasbourg, France SOS Main 4 Blvd President Edwards Strasbourg France F-67000 ce
Citazione:
G. Foucher et al., "Progressive bone lengthening of the hand in congenital malformations", REV CHIR OR, 87(5), 2001, pp. 451-458

Abstract

Purpose of the studyWe retrospectively reviewed the experience of two Hand Units with progressive bone distraction lengthening, collecting 41 cases of hand skeleton lengthening for congenital malformations. Material and methodsThe Ilizarov callostasis method was used in 31 cases and in 10 cases bone union was reestablished at a second stage with an iliac graft (2 cases), vascularized metacarpal bone graft (one case), and vascularized (one case) ornonvascularized (3 cases) toe epiphysis. In the last three cases of index lengthening, the distal part was translocated to the tip of the third, deepening at the same stage the first web. The most frequently treated malformation was symbrachydactyly (22 cases). ResultsMean lengthening was 2.3 cm (0.9 to 3.5) with a mean treatment duration of3.8 months (1.5 - 8.2). The "lengthening index" was 0.59. There was a significant difference between phalanx and metacarpal lengthening, but the amount of lengthening or treatment duration were not affected by technique (Ilizarov vs bone grafting) or age. The complication rate was 32 %. There were two complete failures, one extensor tendon tear, 3 pin tract infections (one requiring interruption of the lengthening), 2 cases of relevant pain, 2 delayed unions, 2 angulations and 1 callus fracture, 1 metacarpophalangeal dislocation and 1 joint stiffness. DiscussionDespite advances in micorsurgical toe transfer, there are still indications for bone lengthening in congenital malformations. The apparent simplicityof the technique can mask a certain number of complications, emphasizing the need for surgical experience. Progressive bone lengthening in congenitaldeformity has the advantage of preserving sensitivity and avoiding bone resorption. Callostasis does not increase the duration of treatment compared to bone graft.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 28/03/20 alle ore 09:39:40