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Single Stage Lengthening by Intercalary Bone Graft in Patients with Congenital Hand Deformities

From Pennsylvania State and Thomas Jefferson Universities, Pennsylvania.

The experience with single-stage lengthening by intercalary bone graft in four patients with congenital hand deformities is presented. In all seven lengthenings the gap was bridged by a toe phalanx bone graft. The elongation of the ray ranged from 5–14 mm. Examination of patients followed from one to five years after the treatment showed a good appearance of the lengthened ray. One bone graft assimilation resulted in a pseudoarthrosis and another had osteopenia that resolved spontaneously. All others healed uneventfully. The quality of the skin sensitivity, vascular status and tendon balance is preserved after the lengthening.

Journal of Hand Surgery (British and European Volume), Vol. 11, No. 1, 40-46 (1986)
DOI: 10.1016/0266-7681(86)90009-4


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