Lengthening of pediatric forearm deformities using the Ilizarov technique: Functional and cosmetic results
| Autor: | David L. Skaggs, Rick A. Raimondo, Melvin P. Rosenwasser, Harold M. Dick |
|---|---|
| Rok vydání: | 1999 |
| Předmět: |
Male
Ilizarov Technique medicine.medical_specialty Adolescent medicine.medical_treatment Ulna Postoperative Complications Forearm medicine Humans Orthopedics and Sports Medicine Child Centimeter business.industry medicine.disease Surgery Radiography Radius Treatment Outcome medicine.anatomical_structure Child Preschool Agenesis Orthopedic surgery Upper limb Distraction osteogenesis Female business Corticotomy |
| Zdroj: | The Journal of Hand Surgery. 24:331-338 |
| ISSN: | 0363-5023 |
| Popis: | Eight patients (average age, 10 years) had a unilateral forearm lengthening procedure using the technique developed by Ilizarov. The procedure was performed in 4 patients with radial agenesis, in 2 with multiple hereditary exostosis, in 1 with ulnar agenesis, and in 1 with multiple enchondromatosis. Patients underwent distraction osteogenesis through either a unifocal or bifocal corticotomy. Forearm length increased on average 6.0 cm (range, 3.6–8.1 cm) or 54% (range, 21% to 94%) with a lengthening index of 1.3 months per centimeter (range, 0.6–1.9 months per centimeter). The length of follow-up averaged 4.5 years and involved office examinations with task evaluation and a questionnaire addressing function and appearance. Limb length discrepancy at follow-up measured 3.7 cm (range, 0.0–8.0 cm). Lengthening of the forearm was found to improve upper extremity function; it allowed the patient to reach distant body parts and to perform select activities requiring near-equal arm length. Forearm lengthening also improved the appearance of the arm if adequate soft tissue was preserved. Full restoration of arm length was not a requirement for a successful outcome and patient satisfaction with the results of the procedure was high. (J Hand Surg 1999;24A: 331–338. Copyright © 1999 by the American Society for Surgery of the Hand.) |
| Databáze: | OpenAIRE |
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