Lengthening of the amputation stumps in hand by distraction osteogenesis


Gurlek A., Inan M., Bilen B., Aydogan H., Ersoz A., Celik M., ...Daha Fazla

8th Congress of the Federation-of-the-European-Societies-for-Surgery-of-the-Hand, Amsterdam, Hollanda, 22 - 25 Mayıs 2002, ss.21-27 identifier

  • Cilt numarası:
  • Basıldığı Şehir: Amsterdam
  • Basıldığı Ülke: Hollanda
  • Sayfa Sayıları: ss.21-27

Özet

Digital amputations have been seen commonly at the emergency services. Mutilation, functional, cosmetic and psychological problems occur when they can not be transplanted or failed after transplantation. Bone lengthening was carried out on 18 digital amputation stumps of 10 patients by distraction osteogenesis (Ilizarov's method) during the period of January 2000 to January 2002. Mean age was 14.2+/-8.1, ranging between 4 and 27 years. The average lengthening achieved 28.4 +/- 83 (15 - 50 mm). Distraction durations varied between 20 -70 (mean 35.2 +/- 8.3) and consolidation between 45 -120 days (mean 74.2 +/- 17.1). Two pin-tract infections, one bone fracture because of trauma, one early fusion of osteotomy and severe pain in two patients due to distraction were observed as complication. Distraction osteogenesis is very effective, simple, no necessity to donor area in the treatment of amputation stumps to get function; in spite of requiring long duration, patience and a good cooperation of both family and patient.