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Correction of deformities and length discrepancies of the forearm in children by distraction osteogenesis

Year 2002, Volume: 36 Issue: 2, 111 - 116, 11.09.2006

Abstract

Objectives: To review the results of correction of deformities and length discrepancies of the forearm in children.
Methods: We evaluated the results of distraction osteogenesis in 10 forearms of nine patients with forearm shortening and/or deformity. The mean age at the time of surgery was 10.2 years (range 5 to 16 years). Etiologies included congenital radioulnar synostosis and preaxial longitudinal deficiency of the forearm (n=1), congenital radioulnar synostosis and shortening of the forearm (n=1), multiple hereditary osteochondromas (n=1), distal radial physeal arrest (n=1), Madelung’s deformity (n=2), bilateral congenital forearm shortening due to postaxial acrofacial dysostosis syndrome (n=1), and defect nonunion of the radius alone (n=1) and with the ulna (n=1) with shortening. Ilizarov type circular external fixators and monoplanar Orthofix fixators were used in seven and three patients, respectively. The mean follow-up was four years and four months (range 1 to 9 years).
Results: The mean length gain was 36.7 mm (range 25 to 60 mm), which meant a mean increase by 31.5% (range %14 to 66%). A satisfactory functional and cosmetic improvement was achieved in all patients. Bone consolidation occurred in three to 13 months without a need for bone grafting. The most common complication was callus deformity seen after the removal of the fixator.
Conclusion: Lengthening of the forearm results in improved upper extremity function, especially in activities requiring equal arm length as well as better cosmetic appearance if adequate soft tissue is preserved.

Çocuklarda önkol deformite ve kısalıklarının distraksiyon osteogenesisi ile düzeltilmesi

Year 2002, Volume: 36 Issue: 2, 111 - 116, 11.09.2006

Abstract

Amaç: Çocuklarda önkol uzatma ve deformite düzeltici girişimlerin sonuçlarını değerlendirmek.
Çalışma planı: Önkol kısalığı ve/veya deformitesi olan dokuz hastanın 10 önkoluna yapılan distraksiyon osteogenesisinin sonuçları değerlendirildi. Hastaların ameliyat sırasındaki ortalama yaşı 10.2 idi (dağılım 5-16). Etyoloji bir hastada konjenital radioulnar sinostoz ve önkolda preaksiel longitudinal hemimeli, bir hastada konjenital radioulnar sinostoz ile birlikte önkol kısalığı, bir hastada multipl herediter osteokondromatosis, bir hastada distal radial fizyel arrest, iki hastada Madelung deformitesi, bir hastada postaksiel akrofasial dizostosis sendromuna bağlı iki taraflı doğuştan önkol kısalığı ve deformitesi, bir hastada radiusta defekt psödoartrozla birlikte kısalık ve bir hastada radius ve ulnada defekt psödoartrozla birlikte kısalıktı. Yedi önkolda Ilizarov tipi sirküler ve üç önkolda Orthofix tipi monoplanar eksternal fiksatörler kullanıldı. Ortalama izleme süresi dört yıl dört ay (dağılım 1-9 yıl) idi.
Sonuçlar: İzleme süresi sonunda olgularda ortalama 36.7 mm (dağılım 25-60 mm) uzama ve ortalama %31.5 (dağılım %14-66) uzama oranı sağlandı. Tüm hastalarda tatmin edici fonksiyonel ve kozmetik düzelme elde edildi; 3-13 ay içinde kaynama sağlandı. En sık karşılaşılan komplikasyon, fiksatörün çıkartılmasından sonra görülen kallus deformasyonu idi.
Çıkarımlar: Önkol uzatmasıyla, özellikle eşit üst ekstremite uzunluğu gerektiren durumlarda üst ekstremite fonksiyonlarında belirgin düzelme ve yumuşak dokuların iyi korunduğu durumlarda kozmetik düzelme de elde edildiği görüldü.

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Details

Primary Language English
Journal Section Original Article
Authors

A. Bagatur This is me

Ahmet Dogan This is me

Gazi Zorer This is me

Publication Date September 11, 2006
Published in Issue Year 2002 Volume: 36 Issue: 2

Cite

APA Bagatur, A., Dogan, A., & Zorer, G. (2006). Correction of deformities and length discrepancies of the forearm in children by distraction osteogenesis. Acta Orthopaedica Et Traumatologica Turcica, 36(2), 111-116. https://doi.org/10.3944/aott.v36i2.904
AMA Bagatur A, Dogan A, Zorer G. Correction of deformities and length discrepancies of the forearm in children by distraction osteogenesis. Acta Orthopaedica et Traumatologica Turcica. September 2006;36(2):111-116. doi:10.3944/aott.v36i2.904
Chicago Bagatur, A., Ahmet Dogan, and Gazi Zorer. “Correction of Deformities and Length Discrepancies of the Forearm in Children by Distraction Osteogenesis”. Acta Orthopaedica Et Traumatologica Turcica 36, no. 2 (September 2006): 111-16. https://doi.org/10.3944/aott.v36i2.904.
EndNote Bagatur A, Dogan A, Zorer G (September 1, 2006) Correction of deformities and length discrepancies of the forearm in children by distraction osteogenesis. Acta Orthopaedica et Traumatologica Turcica 36 2 111–116.
IEEE A. Bagatur, A. Dogan, and G. Zorer, “Correction of deformities and length discrepancies of the forearm in children by distraction osteogenesis”, Acta Orthopaedica et Traumatologica Turcica, vol. 36, no. 2, pp. 111–116, 2006, doi: 10.3944/aott.v36i2.904.
ISNAD Bagatur, A. et al. “Correction of Deformities and Length Discrepancies of the Forearm in Children by Distraction Osteogenesis”. Acta Orthopaedica et Traumatologica Turcica 36/2 (September 2006), 111-116. https://doi.org/10.3944/aott.v36i2.904.
JAMA Bagatur A, Dogan A, Zorer G. Correction of deformities and length discrepancies of the forearm in children by distraction osteogenesis. Acta Orthopaedica et Traumatologica Turcica. 2006;36:111–116.
MLA Bagatur, A. et al. “Correction of Deformities and Length Discrepancies of the Forearm in Children by Distraction Osteogenesis”. Acta Orthopaedica Et Traumatologica Turcica, vol. 36, no. 2, 2006, pp. 111-6, doi:10.3944/aott.v36i2.904.
Vancouver Bagatur A, Dogan A, Zorer G. Correction of deformities and length discrepancies of the forearm in children by distraction osteogenesis. Acta Orthopaedica et Traumatologica Turcica. 2006;36(2):111-6.