Distraction Lengthening of the Ulna in Children With Radial Longitudinal Deficiency

Peterson, Brett; McCarroll, H. Relton; James, Michelle A.

doi:10.1016/j.jhsa.2007.07.024

Cited by 42 publications

(24 citation statements)

References 21 publications

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“…Peterson and colleagues also reported an average of 4.4 cm of added length in 13 distraction procedures (Peterson et al 2007). Multiple complications were seen in all series with pin infection being the most common (Peterson et al 2007;Farr et al 2012). Delayed union, nonunion, and recurrence of deformity have also been reported.…”

Section: Forearm Lengtheningmentioning

confidence: 88%

“…Additional procedures for thumb deficiency are usually performed before the child enters preschool at 2-5 years of age. Correction of the short forearm after centralization may be performed between 8 and 14 years of age (Peterson et al 2007).…”

Section: Timing Of Surgerymentioning

confidence: 99%

“…The most frequent complication of pre-centralization soft tissue distraction is pin tract infection of the external distraction device (Kessler 1989;Smith and Greene 1995;Sabharwal et al 2005;Peterson et al 2007;McCarthy et al 2009;Dana et al 2012). These infections can usually be treated with antibiotics.…”

Section: Management Of Complicationsmentioning

confidence: 99%

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Radial Deficiency

Alphen

Moran

2014

The Pediatric Upper Extremity

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Radial longitudinal deficiency (RLD) is a congenital disorder characterized by hypoplasia of both the radius and soft tissue structures on the preaxial side of the forearm. Clinical presentation can vary within a spectrum of severity ranging from mild cosmetic deformity to complete absence of the radius and thumb. Despite over 250 years of investigation, current surgical treatment of this disorder is still inadequate in restoring "normal" function and appearance within the wrist. Shortcomings in surgical management have made a standardized treatment algorithm for RLD controversial; however centralization and radialization remain the mainstay of surgical treatment. This chapter will attempt to provide an overview of the deformity and present a review of treatment options.

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Section: Forearm Lengtheningmentioning

confidence: 88%

Section: Timing Of Surgerymentioning

confidence: 99%

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Radial Deficiency

Alphen

Moran

2014

The Pediatric Upper Extremity

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“…This technique, which has been well described in several studies, 32,33,34 has been shown to reliably increase overall length. Unfortunately, it also is associated with some fairly common complications such as pin track infection, delayed bone union and digital stiffness.…”

Section: Radial Dysplasiamentioning

confidence: 89%

“…Unfortunately, it also is associated with some fairly common complications such as pin track infection, delayed bone union and digital stiffness. 33,34 Therefore, this treatment method, which often involves several surgical procedures, should be performed by surgeons in a setting familiar with its intricacies and potential complications.…”

Section: Radial Dysplasiamentioning

confidence: 99%