Articulated Distraction

Hosny, Gamal Ahmed

doi:10.1016/j.ocl.2011.04.010

Cited by 7 publications

(3 citation statements)

References 13 publications

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“…This draws on the successes of distraction to improve range of motion but adds an additional component in the form of free articulation. This technique has shown very positive results in the management of degenerative disease of the ankle and in the management of paediatric hip pathologies [2, 16]. …”

Section: Discussionmentioning

confidence: 99%

“…This technique has been further developed and applied to other large joints and has subsequently been described as distraction arthroplasty due to the positive symptomatic benefits in osteoarthritic joints, with corresponding improved function [2]. Distraction arthroplasty of the elbow, knee, ankle, and hip has been shown to be highly beneficial in the management of osteoarthritis and posttraumatic stiffness [1–5].…”

Section: Introductionmentioning

confidence: 99%

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Joint Preservation of the Wrist Using Articulated Distraction Arthroplasty: A Case Report of a Novel Technique

Fletcher

2015

Case Reports in Orthopedics

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Distraction arthroplasty of the ankle, elbow, and hip has become widely accepted and used within the orthopaedic community with excellent initial results which appear sustained. To date it has not been applied to the wrist in the same manner. A novel technique, drawn upon past success of articulated ankle distraction and static wrist distraction, was devised and evaluated by application of articulated wrist distraction performed over a 12-week period in a patient with poor functional outcome following limited wrist fusion. Posttreatment results showed improvement in range of motion (100-degree arc), subjective pain, and functional outcome measures (DASH 21.7, Mayo Wrist Score 80) comparable or better than either limited wrist fusion or proximal row carpectomy. Articulated wrist distraction initially appears to be a promising therapeutic option for the management of the stiff and painful wrist to maintain maximal function for which formal wrist arthrodesis may be the only alternative.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Joint Preservation of the Wrist Using Articulated Distraction Arthroplasty: A Case Report of a Novel Technique

Fletcher

2015

Case Reports in Orthopedics

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“…6 (a, b) Postoperative anteroposterior radiographs of the pelvis at 4-week (a) and 5-month (b) follow-up. Note the new subchondral bone formation anterolaterally of the femoral head at 5-month follow-up circumferential femoral head cartilage growth that reverses the femoral head deformity (Segev et al 2004;Hosny 2011;Gomez et al 2009). A small-diameter core decompression into the necrotic zone of the epiphysis is an adjunct procedure to increase the rapidity of bone healing and revascularization during the hip distraction time period.…”

Section: Basic Principlesmentioning

confidence: 99%