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Treatment of Radial Dysplasia by a Combination of Distraction, Radialisation and a Bilobed Flap – The Results at 5-Year Follow-UpFrom the Bai Jerbai Wadia Hospital for Children, Bombay Hospital and Institute of Medical Sciences, Shushrusha Citizens Cooperative Hospital, Balabhai Nanavati Hospital, India Correspondence: Dr Mukund R. Thatte, 402 Vimal Smruti, 770 Ghanti Road, Parsi Colony, Dadar (E), Mumbai 400 014, India. Tel.: +91 22 24143308. E-mail: mthatte{at}vsnl.com. Thirty-nine hands with radial dysplasia were prospectively treated between 1998 and 2005 by a combination of distraction, followed by radialisation, using bilobed flaps to redistribute the skin at the wrist. Correction of radial deviation and volar subluxation in 29 hands with an average follow-up of 6.5 years has been assessed. In 21 hands, the length and breadth of the ulna were measured in the corrected hands and compared to the contralateral normal ulna for length and contralateral normal radii for breadth at 5-year follow-up. The average length of the ulna was 72%, which was notably better than that reported in earlier series.
Key Words: radial dysplasia mini-fixator cum distractor bilobed flap ulna growth
This version was published on October
1, 2008 Journal of Hand Surgery (European Volume), Vol. 33, No. 5,
616-621 (2008) |
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