Digital ray reconstruction through distraction osteogenesis: A retrospective study of 82 rays with long-term follow-up. Issue 7 (July 2015)

• Record Type: Journal Article
• Authors: Vekris, Marios; Lykissas, Marios; Pakos, Emilios; Gelalis, Ioannis; Korompilias, Anastasios; Soucacos, Panayotis; Beris, Alexandros
• Is Part Of: Injury. Volume 46:Issue 7(2015)
• Page Start: 1354
• Page End: 1358
• Publication Date: 2015-07
• Subjects: Wounds and injuries -- Surgery -- Periodicals; Accidents -- Periodicals; Wounds and Injuries -- surgery -- Periodicals; Lésions et blessures -- Chirurgie -- Périodiques; Electronic journals; Electronic journals; 617.1
• DOI: 10.1016/j.injury.2015.01.036
• Languages: English
• ISSNs: 0020-1383

Abstract

<abstract abstract-type="author" id="abs0005"> <title id="sect0005">Abstract</title> <sec> <title id="sect0010">Purpose</title> <p id="spar0005">The aim of the present study was to present the long-term radiographic results with distraction osteogenesis in traumatic or congenital length discrepancies of long bones of the hand.</p> </sec> <sec> <title id="sect0015">Methods</title> <p id="spar0010">The medical records and radiographs of 65 consecutive patients (27 metacarpals and 55 phalanges) with either traumatic or congenital digital length discrepancies were retrospectively reviewed. The mean follow-up was 8.2 years. The mean distraction period was 21 days with a distraction rate of 4 × 0.25 mm/day. Callus consolidation was obtained in all patients.</p> </sec> <sec> <title id="sect0020">Results</title> <p id="spar0015">The bones were lengthened by a mean amount of 17.5 mm, with a mean increase in bone length of 68 ± 17.3%. The mean healing index was 28.57 days/cm.</p> <p id="spar0020">Ray reconstruction with callus distraction can be applied effectively in skeletally immature or mature patients with congenital differences of the hand or amputated fingers.</p> </sec> <sec> <title id="sect0025">Conclusion</title> <p id="spar0025">A distraction rate of 1 mm/day proved to be a safe rate of lengthening in both metacarpals and phalanges.</p> </sec> </abstract>