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Metacarpal lengthening by distraction histiogenesis in adults

BACKGROUND: Metacarpal lengthening in the hand is a new application for distraction neo-histiogenesis. Metacarpal lengthening with distraction helps in improvement in pinch function. Thumb lengthening is technically easy in comparison to other metacarpals. We present the operative treatment and post...

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Autores principales: Das, Sakti Prasad, Mohanty, Ram Narayan, Das, Sanjay Kumar
Formato: Texto
Lenguaje:English
Publicado: Medknow Publications 2009
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2762567/
https://www.ncbi.nlm.nih.gov/pubmed/19838389
http://dx.doi.org/10.4103/0019-5413.55467
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author Das, Sakti Prasad
Mohanty, Ram Narayan
Das, Sanjay Kumar
author_facet Das, Sakti Prasad
Mohanty, Ram Narayan
Das, Sanjay Kumar
author_sort Das, Sakti Prasad
collection PubMed
description BACKGROUND: Metacarpal lengthening in the hand is a new application for distraction neo-histiogenesis. Metacarpal lengthening with distraction helps in improvement in pinch function. Thumb lengthening is technically easy in comparison to other metacarpals. We present the operative treatment and post-operative outcome in nine patients with amputations and congenital anomalies. MATERIALS AND METHODS: Nine patients underwent distraction osteogenesis for the treatment of amputations of the hand and other congenital anomalies. The dominant right hand was operated in eight cases and the left hand in one case. There were six males and three females. Improvement of function was always the aim of surgery. Age range was between 18 and 23 years. Thumb lengthening was performed in five patients and that of the index finger in four patients. Distraction started on the fifth post-operative day at the rate of 0.25 mm/day. Sensory function and bone consolidation was assessed before fixator removal. RESULTS: The mean duration of distraction was 51 days (range, 42–60 days) and the distractor was removed at a mean of 150 days (range, 140 and 160 days) and the bones were lengthened by a mean of 24 mm (range, 20–28 mm) There was improvement of function in all cases. CONCLUSION: The metacarpal lengthening by distraction histiogenesis in congenital and traumatic amputations is safe and simple method to improve pinch function of hand.
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spelling pubmed-27625672009-10-16 Metacarpal lengthening by distraction histiogenesis in adults Das, Sakti Prasad Mohanty, Ram Narayan Das, Sanjay Kumar Indian J Orthop Original Article BACKGROUND: Metacarpal lengthening in the hand is a new application for distraction neo-histiogenesis. Metacarpal lengthening with distraction helps in improvement in pinch function. Thumb lengthening is technically easy in comparison to other metacarpals. We present the operative treatment and post-operative outcome in nine patients with amputations and congenital anomalies. MATERIALS AND METHODS: Nine patients underwent distraction osteogenesis for the treatment of amputations of the hand and other congenital anomalies. The dominant right hand was operated in eight cases and the left hand in one case. There were six males and three females. Improvement of function was always the aim of surgery. Age range was between 18 and 23 years. Thumb lengthening was performed in five patients and that of the index finger in four patients. Distraction started on the fifth post-operative day at the rate of 0.25 mm/day. Sensory function and bone consolidation was assessed before fixator removal. RESULTS: The mean duration of distraction was 51 days (range, 42–60 days) and the distractor was removed at a mean of 150 days (range, 140 and 160 days) and the bones were lengthened by a mean of 24 mm (range, 20–28 mm) There was improvement of function in all cases. CONCLUSION: The metacarpal lengthening by distraction histiogenesis in congenital and traumatic amputations is safe and simple method to improve pinch function of hand. Medknow Publications 2009 /pmc/articles/PMC2762567/ /pubmed/19838389 http://dx.doi.org/10.4103/0019-5413.55467 Text en © Indian Journal of Orthopaedics http://creativecommons.org/licenses/by/2.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Das, Sakti Prasad
Mohanty, Ram Narayan
Das, Sanjay Kumar
Metacarpal lengthening by distraction histiogenesis in adults
title Metacarpal lengthening by distraction histiogenesis in adults
title_full Metacarpal lengthening by distraction histiogenesis in adults
title_fullStr Metacarpal lengthening by distraction histiogenesis in adults
title_full_unstemmed Metacarpal lengthening by distraction histiogenesis in adults
title_short Metacarpal lengthening by distraction histiogenesis in adults
title_sort metacarpal lengthening by distraction histiogenesis in adults
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2762567/
https://www.ncbi.nlm.nih.gov/pubmed/19838389
http://dx.doi.org/10.4103/0019-5413.55467
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