TR
EN
Lengthening of the phalanges by callus distraction in traumatic amputations of the fingers
Abstract
Objectives: We evaluated the results of lengthening of the phalanges by callus distraction in traumatic amputations of the fingers.
Methods: We treated traumatic amputations of 16 fingers of 13 male patients (mean age 27.7 years; range 12 to 43 years) by callotasis of the phalanges. Callus distraction was performed with a rate of 1 mm/day using a unilateral dynamic external fixation device. The mean follow-up period was 42 months (range 12 to 80 months).
Results : The mean lengthening was 24 mm (range 18 to 26 mm) and 21 mm (range 18 to 26 mm) for the thumbs and the other fingers, respectively. The achieved thumb length provided adequate depth and width of the first web space and enabled functional improvement in the ability of gripping, and pulp-to-pulp and pulp-to-side pinching. In the absence of flexor pollicis longus, the mean strength of the thumbs was 7 kg (range 5 to 9 kg), amounting to 65% of the normal side. Lengthening of the other fingers resulted in improved functioning of the hand. The mean healing index (number of months per centimetre of lengthening) was 1.7 months/cm (range 1.6 to 2.1 months/cm) and 1.6 months/cm (range 1.4 to 1.9 months/cm) in the thumbs and the other fingers, respectively. Pin tract infections were observed in four phalanges.
Conclusion: Callotasis of the proximal phalanx of the thumb is an effective reconstruction method to compensate for the loss of distal phalanx and to alleviate functional problems due to shortness. It may also be applied to the phalanges of the other fingers in patients who do not accept ray resection with or without transposition.
Methods: We treated traumatic amputations of 16 fingers of 13 male patients (mean age 27.7 years; range 12 to 43 years) by callotasis of the phalanges. Callus distraction was performed with a rate of 1 mm/day using a unilateral dynamic external fixation device. The mean follow-up period was 42 months (range 12 to 80 months).
Results : The mean lengthening was 24 mm (range 18 to 26 mm) and 21 mm (range 18 to 26 mm) for the thumbs and the other fingers, respectively. The achieved thumb length provided adequate depth and width of the first web space and enabled functional improvement in the ability of gripping, and pulp-to-pulp and pulp-to-side pinching. In the absence of flexor pollicis longus, the mean strength of the thumbs was 7 kg (range 5 to 9 kg), amounting to 65% of the normal side. Lengthening of the other fingers resulted in improved functioning of the hand. The mean healing index (number of months per centimetre of lengthening) was 1.7 months/cm (range 1.6 to 2.1 months/cm) and 1.6 months/cm (range 1.4 to 1.9 months/cm) in the thumbs and the other fingers, respectively. Pin tract infections were observed in four phalanges.
Conclusion: Callotasis of the proximal phalanx of the thumb is an effective reconstruction method to compensate for the loss of distal phalanx and to alleviate functional problems due to shortness. It may also be applied to the phalanges of the other fingers in patients who do not accept ray resection with or without transposition.
Keywords
Details
Primary Language
English
Subjects
Health Care Administration
Journal Section
Research Article
Publication Date
September 11, 2006
Submission Date
March 7, 2014
Acceptance Date
-
Published in Issue
Year 2004 Volume: 38 Number: 1
APA
Parmaksizoglu, F., & Beyzadeoglu, T. (2006). Lengthening of the phalanges by callus distraction in traumatic amputations of the fingers. Acta Orthopaedica et Traumatologica Turcica, 38(1), 60-66. https://izlik.org/JA88CH78WB
AMA
1.Parmaksizoglu F, Beyzadeoglu T. Lengthening of the phalanges by callus distraction in traumatic amputations of the fingers. Acta Orthopaedica et Traumatologica Turcica. 2006;38(1):60-66. https://izlik.org/JA88CH78WB
Chicago
Parmaksizoglu, Fatih, and Tahsin Beyzadeoglu. 2006. “Lengthening of the Phalanges by Callus Distraction in Traumatic Amputations of the Fingers”. Acta Orthopaedica et Traumatologica Turcica 38 (1): 60-66. https://izlik.org/JA88CH78WB.
EndNote
Parmaksizoglu F, Beyzadeoglu T (September 1, 2006) Lengthening of the phalanges by callus distraction in traumatic amputations of the fingers. Acta Orthopaedica et Traumatologica Turcica 38 1 60–66.
IEEE
[1]F. Parmaksizoglu and T. Beyzadeoglu, “Lengthening of the phalanges by callus distraction in traumatic amputations of the fingers”, Acta Orthopaedica et Traumatologica Turcica, vol. 38, no. 1, pp. 60–66, Sept. 2006, [Online]. Available: https://izlik.org/JA88CH78WB
ISNAD
Parmaksizoglu, Fatih - Beyzadeoglu, Tahsin. “Lengthening of the Phalanges by Callus Distraction in Traumatic Amputations of the Fingers”. Acta Orthopaedica et Traumatologica Turcica 38/1 (September 1, 2006): 60-66. https://izlik.org/JA88CH78WB.
JAMA
1.Parmaksizoglu F, Beyzadeoglu T. Lengthening of the phalanges by callus distraction in traumatic amputations of the fingers. Acta Orthopaedica et Traumatologica Turcica. 2006;38:60–66.
MLA
Parmaksizoglu, Fatih, and Tahsin Beyzadeoglu. “Lengthening of the Phalanges by Callus Distraction in Traumatic Amputations of the Fingers”. Acta Orthopaedica et Traumatologica Turcica, vol. 38, no. 1, Sept. 2006, pp. 60-66, https://izlik.org/JA88CH78WB.
Vancouver
1.Fatih Parmaksizoglu, Tahsin Beyzadeoglu. Lengthening of the phalanges by callus distraction in traumatic amputations of the fingers. Acta Orthopaedica et Traumatologica Turcica [Internet]. 2006 Sep. 1;38(1):60-6. Available from: https://izlik.org/JA88CH78WB