Chirurgie de la main · 2006
[Bone lengthening by distraction of the metacarpal or phalanx in children].
Аннотация на английскомСтатьяПоддержка исследования: вне правительства СШАНазвание и аннотация: Перевод в очереди
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Valenti D, Salazard B, Samson P, Legré R, Magalon G
Аннотация
We report the results of bone lengthening using progressive distraction performed for congenital hand deformities in 12 children between 1998 and 2004. The series is retrospective. Patients were aged between 2 and 11 years. The distraction site was metacarpal in 9 cases and phalangeal in 3 cases. The Mondéal micro distraction device was used. The lengthening procedure was a callotasis with a 0.25 to 0.5 mm/day distraction pace in all cases. The final mean lengthening was 16 mm, and the mean treatment duration was 107 days. The complication rate was 33%. The distraction procedure is described in detail. It is feasible in very young patients as a micro distraction device is used. Family education may prevent complications. This therapeutic procedure gave functional improvement without impairment of distal sensitivity.