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Distraction Lengthening of the Forearm for Congenital and Developmental Problems

From the Orthopaedic Department, Nagoya University, Nagoya, Japan

Correspondence: E. Horii MD, Orthopaedic Department, Nagoya University, 65 Tsuruma, Syowaku, Nagoya, 466-8550, Japan. E-mail: emikoh{at}tsuru.med.nagoya-u.ac.jp

Thirty-five callus distractions of the forearm were carried out in 23 patients, who were divided into two groups according to the cause of the shortening. Eleven cases in group A had congenital dysplasia, and the 12 cases in group B had growth disturbances from tumours or infection. The mean amount of lengthening was 27 mm in group A and 25 mm in group B. The mean percentage increase in length was 35% and 17%, respectively. The mean duration of fixation was 159 days and 127 days, respectively. The Healing Index had a positive correlation with the age at surgery in group A, but not in group B. The main complication was callus deformity after the removal of a fixator, which was especially frequent in group A. To avoid complications, the aetiology of shortening and the age of the patient should be considered when deciding the surgical protocol.

Journal of Hand Surgery (British and European Volume), Vol. 25, No. 1, 15-21 (2000)
DOI: 10.1054/jhsb.1999.0309


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