Physeal bar resection using a patient-specific guide with intramedullary endoscopic assistance for partial physeal arrest of the distal radius

The partial physeal arrest of the distal radius could result in progressive deformities and functional problems of the wrist. Despite being the most preferred surgical intervention, physeal bar resection (Langenskiöld procedure) is technically demanding. This manuscript aims to illustrate the techni...

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Detalles Bibliográficos
Autores principales: Miyamura, Satoshi, Tanaka, Hiroyuki, Oka, Kunihiro, Shigi, Atsuo, Abe, Shingo, Yoshikawa, Hideki, Murase, Tsuyoshi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2018
Materias:
Handsurgery
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6060782/
https://www.ncbi.nlm.nih.gov/pubmed/29955969
http://dx.doi.org/10.1007/s00402-018-2985-y
Descripción
Sumario:The partial physeal arrest of the distal radius could result in progressive deformities and functional problems of the wrist. Despite being the most preferred surgical intervention, physeal bar resection (Langenskiöld procedure) is technically demanding. This manuscript aims to illustrate the technical tricks and present an illustrative case of premature physeal arrest of the distal radius managed with a novel method for the Langenskiöld procedure, involving complete removal of the bar using a patient-specific guide in combination with an intramedullary endoscopy technique that facilitated direct observation.

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