Forearm lengthening by distraction osteogenesis in children
| Autor: | H. A. Mann, R. A. Hill, A. Siapkara, Talal Ibrahim |
|---|---|
| Rok vydání: | 2011 |
| Předmět: |
Male
Ilizarov Technique medicine.medical_specialty Adolescent External Fixators Ectromelia Radiography medicine.medical_treatment Osteogenesis Distraction Ulna Forearm Deformity Humans Medicine Orthopedics and Sports Medicine Child Subluxation business.industry Cosmesis medicine.disease Surgery Radius Treatment Outcome medicine.anatomical_structure Child Preschool Distraction osteogenesis Female medicine.symptom business Exostoses Multiple Hereditary Follow-Up Studies |
| Zdroj: | The Journal of Bone and Joint Surgery. British volume. :1550-1555 |
| ISSN: | 2044-5377 0301-620X |
| Popis: | We present our experience of forearm lengthening in children with various conditions performed by a single surgeon between 1995 and 2009. A total of 19 children with a mean age of 9.8 years (2.1 to 15.9) at the time of surgery had 22 forearm lengthenings using either an Ilizarov/spatial and Ilizarov circular frame or a monolateral external fixator. The patients were divided into two groups: group A, in whom the purpose of treatment was to restore the relationship between the radius and the ulna, and group B, in whom the objective was to gain forearm length. The mean follow-up after removal of the frame was 26 months (13 to 53). There were ten patients (11 forearms) in group A with a mean radioulnar discrepancy of 2.4 cm (1.5 to 3.3) and nine patients (11 forearms) in group B. In group A, the mean lengthening achieved was 2.7 cm (1.0 to 5.5), with a lengthening index of 11.1 weeks/cm. Equalisation or overcorrection of the discrepancy was achieved in seven of 11 forearms, but lengthening was only partially successful at preventing subluxation or dislocation of the radial head. In group B, the mean lengthening achieved was 3.8 cm (1.9 to 6.8), with a lengthening index of 7.25 weeks/cm. Common complications in both groups were pin-site infection and poor regenerate formation. Forearm lengthening by distraction osteogenesis is a worthwhile procedure in children that can improve cosmesis and function, particularly in patients with shortening of both radius and ulna. |
| Databáze: | OpenAIRE |
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