Distraction lengthening in the traumatic hand

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• 作者：Inê ; s Correia-Sá ; ¹ ; ² ; ^{inescsa@gmail.com} ; Diana Monteiro¹ ; Marisa Marques¹ ; ² ; Á ; lvaro Silva¹ ; Pedro Natividade-da-Silva¹ ; ²
• 关键词：Distraction ; Hand ; Patient evaluation
• 刊名：Sports Orthopaedics and Traumatology
• 出版年：2016
• 出版时间：December 2016
• 年：2016
• 卷：32
• 期：4
• 页码：368-374
• 全文大小：1958 K
• 卷排序：32

文摘

Digital amputations in the hand, in spite of being frequent, don’t have any satisfactory reconstructive technique that allows simultaneously a good aesthetic and functional result. The distraction lengthening, one of the techniques of digital reconstruction, allows the lengthening of one or several rays simultaneously maintaining a sensitive and vascularised tissue in the lengthened area throughout the entire period of reconstruction.MethodsBetween 1998 and 2003, 11 patients were operated for reconstruction of 14 amputated fingers with Ilizarov distraction technique. Nine patients were male (p < 0.001). The mean age observed was 26.4 ± 18.9 years-old (mean ± standard deviation). We lengthened five fingers of the first ray (38.4%), four (30.8%) of the second ray, and four (30.8%) related to other rays of the hand. In two patients we made distraction lengthening of several rays simultaneously.ResultsThe mean lengthening achieved was 28.2 ± 5.7 millimetres. For the functional evaluation, 72.8% of the cases where considered has good functional recovery. For the aesthetical evaluation, 27.3% of the cases where considered has good aesthetical recovery. After a mean follow-up of 25.8 ± 14.0 months we found two complications (one fracture of the callus bone, and one case of premature consolidation).ConclusionIt is our conviction that the distraction lengthening has and will certainly still have an important role within the therapeutic options for finger reconstruction after amputation.