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Lengthening of pediatric forearm deformities using the Ilizarov technique : Functional and cosmetic results
RAIMONDO RA; SKAGGS DL; ROSENWASSER MP
J HAND SURG BR , 1999, vol. 24, n° 2, p. 331-338 Doc n°: 90113 Localisation : Specimen Descripteurs : DD66 - TRAITEMENTS - AVANT-BRAS, HE5 - SATISFACTION DU PATIENT 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. Langue : ANGLAIS Identifiant basis : 1999205925 |
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