Bone lengthening for congenital differences of the hands and digits in children

Matsuno, Takahiro; Ishida, Osamu; Sunagawa, Toru; Ichikawa, Makoto; Ikuta, Yoshikazu; Ochi, Mitsuo

doi:10.1016/j.jhsa.2004.02.012

Cited by 41 publications

(16 citation statements)

References 19 publications

(15 reference statements)

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“…Eine funktionelle und ästhetische Einschränkung besteht nur bei starker Ausprägung der Brachydaktylie. Hier können Korrekturosteotomien mit Beckenkammspaninterposition [26] oder Distraktionsfixateuren [27] erfolgen -meist im jugendlichen Alter. …”

Section: Brachydaktylieunclassified

Fehlbildungen an Hand und Unterarm

Unglaub

Langer

Hahn³

et al. 2016

Orthopäde

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Many congenital malformations of the hand and forearm, e. g. polydactyly, thumb duplication, syndactyly and radial aplasia, are already evident at birth and newborns are promptly referred to specialized departments. In contrast, orthopedic surgeons are often confronted with malformations of the hand and forearm, which gradually become clinically conspicuous during growth. This review article focuses on these specific malformations, which regularly upset the patients in practice and in most cases the parents even more so. In addition to the diagnostics and differential diagnostics, the conservative and surgical treatment options are presented.

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Section: Brachydaktylieunclassified

Fehlbildungen an Hand und Unterarm

Unglaub

Langer

Hahn³

et al. 2016

Orthopäde

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“…3). Percentage of growth and growth rates of the distracted bones, in respect to the initial length of the phalanges, at the final follow-up visit, were calculated as follows 9 :…”

Section: Patientsmentioning

confidence: 99%

Application of C-Shaped Osteotomy and Distraction Osteogenesis for Correction of Radial Angulation Deformities of the Hand in Children With Apert Syndrome

Vargel

Çalış²,

Çavuşoğlu

et al. 2015

Annals of Plastic Surgery

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Apert syndrome is characterized by short, radially deviated thumbs, leading to difficulties in daily life such as holding a fork or a spoon and buttoning up. The main goal of surgery is to achieve thumb to index finger pinch to overcome these difficulties. Seven patients (14 extremities) followed up with Apert syndrome underwent distraction after a C-shaped osteotomy to simultaneously correct the brachydactyly and the angulation deformity of the bilateral thumbs. The patients ranged in age from 4 to 7 years at the distraction operation, with a mean (SD) of 4.7 (1.7) years, and the mean (SD) length of follow-up was 100.6 (14.95) months. The mean (SD) length of the phalanges at the beginning of distraction was 19.1 (3.26) mm, and the mean (SD) length of the distracted phalanx at long-term follow-up visit was 26.2 (5.63) mm. The mean (SD) correction of radial angulation was calculated as 42.6 (9.95) degrees, and the difference was considered as being statistically significant (P < 0.001). Minor complications such as pin loosening were observed in 6 extremities of 4 patients, and 2 patients were treated for pin tract infection. Index-to-thumb pinching was acquired by all the patients after distraction and correction of angulation. The hand features of Apert syndrome are as noteworthy as the craniofacial features and thus may lead to functional impairment and limitations in daily life. Distraction with a C-shaped osteotomy seems to be a promising method to correct both the shortness and the radial angulation of the thumb to achieve functional results.

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“…18,19 The process of distraction does not add overall length to the thumb unit; rather, the newly formed bone moves proximally until it anchors in the soft tissues on the radial side of the carpus. After the new regenerate bone heals, reconstruction of the web space, collateral ligaments, and tendon transfers proceeds as above.…”

Section: Absence Of the Proximal Thumb Metacarpalmentioning

confidence: 99%

Thumb Hypoplasia

Riley

Burgess

2009

The Journal of Hand Surgery

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Hypoplasia of the thumb refers to a spectrum of clinical abnormalities ranging from a slightly small digit to complete absence (or aplasia) of the thumb unit. As a component of radial dysplasia, thumb hypoplasia can be either an isolated entity or seen in conjunction with other elements of radial longitudinal deficiency. Treatment of this condition initially involves identifying and addressing co-morbid anomalies in other body systems. The severity of thumb hypoplasia is then graded so that appropriate treatment methods can be instituted. The goal of treatment is ultimately to provide the child with a stable and functional thumb unit.

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Bone lengthening for congenital differences of the hands and digits in children

Cited by 41 publications

References 19 publications

Fehlbildungen an Hand und Unterarm

Fehlbildungen an Hand und Unterarm

Application of C-Shaped Osteotomy and Distraction Osteogenesis for Correction of Radial Angulation Deformities of the Hand in Children With Apert Syndrome

Thumb Hypoplasia

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