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Pre-Operative Distraction Lengthening for Radial Longitudinal Deficiency

From the Department of Hand Surgery, Royal North Shore Hospital and The Children's Hospital, Sydney, Australia

Correspondence: M.A. Tonkin, Department of Hand Surgery, Royal North Shore Hospital, St. Leonards NSW 2065, Australia.

Patients treated for total radial aplasia have been reviewed. It was possible to re-align the carpus by radialization in five out of six limbs treated with pre-operative distraction, but in only one out of six treated without distraction.

The average improvement in radial angulation in the non-distraction group was 19° and in the distraction group 38°. The average improvement in radial translation was 16 mm and 17 mm in the two groups respectively.

Pre-operative distraction with the Kessler device permits re-alignment of the hand without skeletal resection or excessive tension on the radial neurovascular structures.

Journal of Hand Surgery (British and European Volume), Vol. 21, No. 1, 103-107 (1996)
DOI: 10.1016/S0266-7681(96)80022-2


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