Τίτλος:
Digital ray reconstruction through distraction osteogenesis: A retrospective study of 82 rays with long-term follow-up
Γλώσσες Τεκμηρίου:
Αγγλικά
Περίληψη:
Purpose: The aim of the present study was to present the long-term radiographic results with distraction osteogenesis in traumatic or congenital length discrepancies of long bones of the hand. Methods: The medical records and radiographs of 65 consecutive patients (27 metacarpals and 55 phalanges) with either traumatic or congenital digital length discrepancies were retrospectively reviewed. The mean follow-up was 8.2 years. The mean distraction period was 21 days with a distraction rate of 4 × 0.25 mm/day. Callus consolidation was obtained in all patients. Results: The bones were lengthened by a mean amount of 17.5 mm, with a mean increase in bone length of 68 ± 17.3%. The mean healing index was 28.57 days/cm. Ray reconstruction with callus distraction can be applied effectively in skeletally immature or mature patients with congenital differences of the hand or amputated fingers. Conclusion: A distraction rate of 1 mm/day proved to be a safe rate of lengthening in both metacarpals and phalanges. © 2015 Elsevier Ltd. All rights reserved.
Συγγραφείς:
Vekris, M.
Lykissas, M.
Pakos, E.
Gelalis, I.
Korompilias, A.
Soucacos, P.
Beris, A.
Εκδότης:
Elsevier Ireland Ltd
Λέξεις-κλειδιά:
adolescent; adult; Article; bone length; bone pin; bone radiography; brachydactyly; callus; child; clinical effectiveness; congenital bone disease; congenital digital length discrepancy; digital ray reconstruction; distraction osteogenesis; female; finger amputation; follow up; hand reconstruction; healing impairment; human; infection complication; long term care; major clinical study; male; medical record; metacarpal bone; metacarpophalangeal joint; postoperative complication; priority journal; prosthesis loosening; retrospective study; surgical technique; treatment duration; young adult; distraction osteogenesis; finger phalanx; fracture healing; Hand Deformities, Congenital; Hand Injuries; pathology; preschool child; procedures; radiography; time factor; treatment outcome, Adolescent; Adult; Child; Child, Preschool; Female; Finger Phalanges; Follow-Up Studies; Fracture Healing; Hand Deformities, Congenital; Hand Injuries; Humans; Male; Metacarpal Bones; Osteogenesis, Distraction; Retrospective Studies; Time Factors; Treatment Outcome
DOI:
10.1016/j.injury.2015.01.036
