Non-Vascularized Free Toe Phalanx Transplantation in the Treatment of Symbrachydactyly and Constriction Ring Syndrome
| Autor: | T. Gohla, Ulrich Lanz, C. H. Metz |
|---|---|
| Rok vydání: | 2005 |
| Předmět: |
Male
medicine.medical_specialty Fingers Tendons Postoperative Complications Aphalangia Humans Medicine Bone Resorption Short digit Toe Phalanges Transplantation Symbrachydactyly business.industry Graft Survival Age Factors Constriction ring syndrome Infant Phalanx medicine.disease Resorption Surgery Treatment Outcome medicine.anatomical_structure Child Preschool Upper limb Female business |
| Zdroj: | Journal of Hand Surgery. 30:446-451 |
| ISSN: | 0266-7681 |
| DOI: | 10.1016/j.jhsb.2005.06.003 |
| Popis: | Forty-eight patients underwent a total number of 113 non-vascularized free toe phalanx transplantations for congenital short digits between 1975 and 2003, a mean number of 2.3 transplanted phalanges per patient. The mean age at the time of initial surgery was 3.6 years (range 6 months to 21 years). The follow-up time ranged from 4 months to 14 years with a mean of 6 years. Sixty-four phalanges showed radiographically measured growth, 22 phalanges showed signs of resorption, while 27 phalanges showed neither growth nor resorption. Resorption increased with patient age. Three patients developed donor site problems. The optimum timing for initial surgery is as early as possible because of the safer and greater growth potential and less resorption of the transplanted phalanges. Non-vascularized free toe phalanx transplantations offer a simple and safe method of lengthening with a significant improvement of hand function. |
| Databáze: | OpenAIRE |
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