Callus distraction of the first metacarpal bone for reconstruction of the thumb after traumatic amputation

被引:0
作者
Joist, A [1 ]
Neuber, M [1 ]
Frebel, T [1 ]
Joosten, U [1 ]
机构
[1] Univ Munster, Klin & Poliklin Unfall & Handchirurg, D-48149 Munster, Germany
来源
UNFALLCHIRURG | 2000年 / 103卷 / 12期
关键词
callus distraction; thumb amputation; thumb reconstruction;
D O I
10.1007/s001130050671
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
From 1990 to 1997, callus distraction of the first metacarpal bone was performed on 34 patients with a traumatic amputation of the thumb, if replantation was not possible. After a period of 7 +/- 11 months (range, 1-48),a corticotomy and continuous distraction with an external fixator was carried out. Of the patients, 31 (91%) were reviewed after treatment. The follow-up period range was 41 +/- 32 months. With this method,the average lengthening of the thumb was 78% in comparison to the uninjured side. Complications were rupture of the callus in one case, four patients suffered a superficial wound infection, and seven patients showed pin tract infection without osteitis. At follow-up examination, 20 patients (64.5%) showed excellent, 9 (29%) good and 2 patients (6.5%) unsatisfying results.
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页码:1073 / 1078
页数:6
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