Distraction lengthening of the ulna in radial club hand using the ilizarov technique
Six children with radial club hand had distraction lengthening of the ulna using the Ilizarov technique at the mean age of 10 years. The mean lengthening achieved was 4.7 cm (46% of original ulna length). Complications included nocturnal pain, pin track infection and callus fracture or delayed union...
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| Veröffentlicht in: | Journal of hand surgery, British volume British volume, 1998-04, Vol.23 (2), p.186-191 |
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| container_end_page | 191 |
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| container_title | Journal of hand surgery, British volume |
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| creator | Pickford, M.A. Scheker, L.R. |
| description | Six children with radial club hand had distraction lengthening of the ulna using the Ilizarov technique at the mean age of 10 years. The mean lengthening achieved was 4.7 cm (46% of original ulna length). Complications included nocturnal pain, pin track infection and callus fracture or delayed union. Distraction lengthening of the ulna can enhance the ability to perform normal activities of daily living, such as reaching the perineum or driving a car, but complications are extremely common. The high rate of callus fracture in this series reinforces the need for regular radiographic review during distraction and suggests that after distraction it may take more than 4 weeks for satisfactory callus consolidation before removal of the fixator. |
| doi_str_mv | 10.1016/S0266-7681(98)80172-1 |
| format | Article |
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The mean lengthening achieved was 4.7 cm (46% of original ulna length). Complications included nocturnal pain, pin track infection and callus fracture or delayed union. Distraction lengthening of the ulna can enhance the ability to perform normal activities of daily living, such as reaching the perineum or driving a car, but complications are extremely common. The high rate of callus fracture in this series reinforces the need for regular radiographic review during distraction and suggests that after distraction it may take more than 4 weeks for satisfactory callus consolidation before removal of the fixator.</description><identifier>ISSN: 0266-7681</identifier><identifier>EISSN: 1532-2211</identifier><identifier>DOI: 10.1016/S0266-7681(98)80172-1</identifier><identifier>PMID: 9607657</identifier><language>eng</language><publisher>London, England: Elsevier Ltd</publisher><subject>Adolescent ; Bone Diseases, Developmental - diagnostic imaging ; Bone Diseases, Developmental - surgery ; Child ; Child, Preschool ; Female ; Follow-Up Studies ; Hand Deformities, Congenital - diagnostic imaging ; Hand Deformities, Congenital - surgery ; Humans ; Ilizarov Technique - instrumentation ; Male ; Postoperative Complications - diagnostic imaging ; Postoperative Complications - surgery ; Radiography ; Radius - abnormalities ; Radius - diagnostic imaging ; Radius - surgery ; Reoperation ; Ulna - abnormalities ; Ulna - diagnostic imaging ; Ulna - surgery ; Wrist Joint - abnormalities ; Wrist Joint - diagnostic imaging ; Wrist Joint - surgery</subject><ispartof>Journal of hand surgery, British volume, 1998-04, Vol.23 (2), p.186-191</ispartof><rights>1998 The British Society for Surgery of the Hand</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c403t-1c8f3aea71dd8c42bbe6a9319e4820d76748019c0ab854bfb2c7dc75736c8b703</citedby><cites>FETCH-LOGICAL-c403t-1c8f3aea71dd8c42bbe6a9319e4820d76748019c0ab854bfb2c7dc75736c8b703</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1016/S0266-7681(98)80172-1$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1016/S0266-7681(98)80172-1$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,780,784,21819,27924,27925,43621,43622</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9607657$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Pickford, M.A.</creatorcontrib><creatorcontrib>Scheker, L.R.</creatorcontrib><title>Distraction lengthening of the ulna in radial club hand using the ilizarov technique</title><title>Journal of hand surgery, British volume</title><addtitle>J Hand Surg Br</addtitle><description>Six children with radial club hand had distraction lengthening of the ulna using the Ilizarov technique at the mean age of 10 years. The mean lengthening achieved was 4.7 cm (46% of original ulna length). Complications included nocturnal pain, pin track infection and callus fracture or delayed union. Distraction lengthening of the ulna can enhance the ability to perform normal activities of daily living, such as reaching the perineum or driving a car, but complications are extremely common. The high rate of callus fracture in this series reinforces the need for regular radiographic review during distraction and suggests that after distraction it may take more than 4 weeks for satisfactory callus consolidation before removal of the fixator.</description><subject>Adolescent</subject><subject>Bone Diseases, Developmental - diagnostic imaging</subject><subject>Bone Diseases, Developmental - surgery</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Hand Deformities, Congenital - diagnostic imaging</subject><subject>Hand Deformities, Congenital - surgery</subject><subject>Humans</subject><subject>Ilizarov Technique - instrumentation</subject><subject>Male</subject><subject>Postoperative Complications - diagnostic imaging</subject><subject>Postoperative Complications - surgery</subject><subject>Radiography</subject><subject>Radius - abnormalities</subject><subject>Radius - diagnostic imaging</subject><subject>Radius - surgery</subject><subject>Reoperation</subject><subject>Ulna - abnormalities</subject><subject>Ulna - diagnostic imaging</subject><subject>Ulna - surgery</subject><subject>Wrist Joint - abnormalities</subject><subject>Wrist Joint - diagnostic imaging</subject><subject>Wrist Joint - surgery</subject><issn>0266-7681</issn><issn>1532-2211</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1998</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkE1LAzEURYMoWqs_oZCV6GI0yczkYyVSP6HgQl2HTPKmTZlmajIj6K93aku3rhJ4597HOwhNKLmmhPKbN8I4zwSX9FLJK0moYBk9QCNa5ixjjNJDNNojJ-g0pSUhhJaiOEbHihPBSzFC7_c-ddHYzrcBNxDm3QKCD3Pc1nj44r4JBvuAo3HeNNg2fYUXJjjcpw21QXzjf0xsv3AHdhH8Zw9n6Kg2TYLz3TtGH48P79PnbPb69DK9m2W2IHmXUSvr3IAR1DlpC1ZVwI3KqYJCMuIEF8VwlrLEVLIsqrpiVjgrSpFzKytB8jG62PauYzusTZ1e-WShaUyAtk9aKEVyWqoBLLegjW1KEWq9jn5l4remRG9s6j-beqNKK6n_bGo65Ca7BX21ArdP7fQNc7adJzMHvWz7GIZ7_y293YZgUPPlIepkPQQLzkewnXat_6fhF105k7k</recordid><startdate>19980401</startdate><enddate>19980401</enddate><creator>Pickford, M.A.</creator><creator>Scheker, L.R.</creator><general>Elsevier Ltd</general><general>SAGE Publications</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19980401</creationdate><title>Distraction lengthening of the ulna in radial club hand using the ilizarov technique</title><author>Pickford, M.A. ; Scheker, L.R.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c403t-1c8f3aea71dd8c42bbe6a9319e4820d76748019c0ab854bfb2c7dc75736c8b703</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1998</creationdate><topic>Adolescent</topic><topic>Bone Diseases, Developmental - diagnostic imaging</topic><topic>Bone Diseases, Developmental - surgery</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Hand Deformities, Congenital - diagnostic imaging</topic><topic>Hand Deformities, Congenital - surgery</topic><topic>Humans</topic><topic>Ilizarov Technique - instrumentation</topic><topic>Male</topic><topic>Postoperative Complications - diagnostic imaging</topic><topic>Postoperative Complications - surgery</topic><topic>Radiography</topic><topic>Radius - abnormalities</topic><topic>Radius - diagnostic imaging</topic><topic>Radius - surgery</topic><topic>Reoperation</topic><topic>Ulna - abnormalities</topic><topic>Ulna - diagnostic imaging</topic><topic>Ulna - surgery</topic><topic>Wrist Joint - abnormalities</topic><topic>Wrist Joint - diagnostic imaging</topic><topic>Wrist Joint - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Pickford, M.A.</creatorcontrib><creatorcontrib>Scheker, L.R.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of hand surgery, British volume</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Pickford, M.A.</au><au>Scheker, L.R.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Distraction lengthening of the ulna in radial club hand using the ilizarov technique</atitle><jtitle>Journal of hand surgery, British volume</jtitle><addtitle>J Hand Surg Br</addtitle><date>1998-04-01</date><risdate>1998</risdate><volume>23</volume><issue>2</issue><spage>186</spage><epage>191</epage><pages>186-191</pages><issn>0266-7681</issn><eissn>1532-2211</eissn><abstract>Six children with radial club hand had distraction lengthening of the ulna using the Ilizarov technique at the mean age of 10 years. The mean lengthening achieved was 4.7 cm (46% of original ulna length). Complications included nocturnal pain, pin track infection and callus fracture or delayed union. Distraction lengthening of the ulna can enhance the ability to perform normal activities of daily living, such as reaching the perineum or driving a car, but complications are extremely common. The high rate of callus fracture in this series reinforces the need for regular radiographic review during distraction and suggests that after distraction it may take more than 4 weeks for satisfactory callus consolidation before removal of the fixator.</abstract><cop>London, England</cop><pub>Elsevier Ltd</pub><pmid>9607657</pmid><doi>10.1016/S0266-7681(98)80172-1</doi><tpages>6</tpages></addata></record> |
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| ispartof | Journal of hand surgery, British volume, 1998-04, Vol.23 (2), p.186-191 |
| issn | 0266-7681 1532-2211 |
| language | eng |
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| subjects | Adolescent Bone Diseases, Developmental - diagnostic imaging Bone Diseases, Developmental - surgery Child Child, Preschool Female Follow-Up Studies Hand Deformities, Congenital - diagnostic imaging Hand Deformities, Congenital - surgery Humans Ilizarov Technique - instrumentation Male Postoperative Complications - diagnostic imaging Postoperative Complications - surgery Radiography Radius - abnormalities Radius - diagnostic imaging Radius - surgery Reoperation Ulna - abnormalities Ulna - diagnostic imaging Ulna - surgery Wrist Joint - abnormalities Wrist Joint - diagnostic imaging Wrist Joint - surgery |
| title | Distraction lengthening of the ulna in radial club hand using the ilizarov technique |
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