Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
SHR Neuro Krebs Kardio Lipid Stoffw Microb
Farr, S; Petje, G; Sadoghi, P; Ganger, R; Grill, F; Girsch, W.
Radiographic early to midterm results of distraction osteogenesis in radial longitudinal deficiency.
J Hand Surg Am. 2012; 37(11):2313-2319
Doi: 10.1016/j.jhsa.2012.08.029
Web of Science
PubMed
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- Co-Autor*innen der Med Uni Graz
- Sadoghi Patrick
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- Abstract:
- Purpose To analyze early to midterm radiographic results after forearm lengthening in children with radial longitudinal deficiency. Methods We conducted a retrospective chart review of patients with radial longitudinal deficiency undergoing distraction osteogenesis with an Ilizarov device. We retrospectively reviewed 8 lengthening procedures in 6 children with respect to distraction details and assessed anteroposterior and lateral radiographs of the hand and forearm of the preoperative and postoperative follow-up investigations. Results The mean age at time of ulna lengthening was 9.9 years (range, 6.3-14.0 y). The mean follow-up period was 4.7 years (range, 1.0-8.5 y). Mean lengthening of the ulna was 7.0 cm (range, 3.5-8.7 cm), and the mean length gain of the ulna compared with its preoperative length was 75% (range, 42% to 103%). The mean ulna bowing was 25 degrees preoperatively (range, 7 degrees to 42 degrees), 6 degrees after forearm distraction (range, 0 degrees to 14 degrees), and 17 degrees at latest follow-up (range, 0 degrees to 45 degrees). The mean hand-forearm angle was 25 degrees of radial deviation preoperatively (range, 15 degrees ulnar to 60 degrees radial deviation), 11 degrees of radial deviation after distraction (range, 0 degrees to 41 degrees), and 23 degrees at latest follow-up (range, 0 degrees to 45 degrees). We encountered 2 major complications: 1 ulna fracture after removal of the Ilizarov device and 1 insufficient bone regenerate during lengthening. Conclusions We achieved both deformity correction and improvement of limb length after distraction osteogenesis with an Ilizarov device. However, some of the deformity in particular, ulnar bowing and radial deviation of the hand recurred at midterm follow-up. (J Hand Surg 2012;37A:2313-2319. Copyright (C) 2012 by the American Society for Surgery of the Hand. All rights reserved.)
- Find related publications in this database (using NLM MeSH Indexing)
- Adolescent -
- Child -
- Equipment Design -
- Female -
- Forearm - growth & development
- Humans -
- Male -
- Osteogenesis, Distraction - instrumentation
- Radius - abnormalities
- Recurrence -
- Retrospective Studies -
- Treatment Outcome -
- Find related publications in this database (Keywords)
- Distraction osteogenesis
- Ilizarov
- radial longitudinal deficiency
- ulnar bowing