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Journal of Hand Surgery (British and European Volume)
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Articles

Metacarpal and Phalangeal Lengthening by Callus Distraction

S. HOUSHIAN
T. IPSEN

From the Department of Orthopaedics, Hand Section, Odense University Hospital, Denmark

Correspondence: Dr Shirzad Houshian, Dept of Orthopedics, Hand Section, Odense University Hospital, Sdr Boulevard 29, DK-5000 Odense C., Denmark.

Twelve metacarpals and two phalanges in 14 patients (nine males and five females) were lengthened between August 1992 and March 1999 by the callus distraction technique using a small external fixator (Orthofix®). The indications were traumatic amputation (10 cases), aplasia (three cases) and hypoplasia owing to premature epiphyseal closure of the metacarpal (one case). All patients were reviewed with a median follow-up time of 39 (range, 9–88) months. The median age of the patients was 15 (range, 4–39) years. The median lengthening was 21 (range, 13–34) mm which was a median of 82% (range, 38–162) of the original bone length. The median times for callus distraction and consolidation were 4.5 and 7.5 weeks respectively. All except one patient tolerated the procedure well and were satisfied with the results. Functional improvement was seen in 13 out of 14 patients, but non-union was observed in one patient.

Journal of Hand Surgery (British and European Volume), Vol. 26, No. 1, 13-16 (2001)
DOI: 10.1054/jhsb.2000.0478
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