Abstract:
PURPOSE:The sufficient length of congenital forearm stump is essential for prosthetic fitting. In our study we reviewed the results of a series of forearm stump lengthening, observed complications and their outcomes. We evaluated possibilities of combined technique to reduce or avoid problems and complications in forearm stump lengthening. METHODS:We retrospectively reviewed 18 children who have undergone forearm stump lengthening. In all patients the forearm lengthening was performed by means of Ilizarov frame. Additional flexible intramedullary nailing (FIN) was applied in two cases. RESULTS:The mean lengthening gain was 4.6 cm. The planned lengthening gain was obtained in all cases. The mean healing index (HI) was 34.1 days/cm. The most reduced HI was observed in two cases of combined technique (Ilizarov frame with FIN): 25.4 and 27.0 days/cm. Considering complications and outcomes the results were classified according to Lascombes: grade I--5 cases, IIa--10 cases, IIb--2 cases, IIIa--1 case. In the long term follow-up all patients used their prostheses fixed at the forearm stump with natural function of elbow joint. CONCLUSION:Forearm progressive lengthening in children with congenital transverse deficiency of the forearm is justified in order to facilitate prosthetic procedures and to preserve natural function of elbow joint. Sufficient lengthening can be achieved within one operation with a low rate of major complications. In our experience a repeated lengthening of forearm stump is not mandatory.
journal_name
Int Orthopjournal_title
International orthopaedicsauthors
Popkov D,Popkov Adoi
10.1007/s00264-015-3112-0subject
Has Abstractpub_date
2016-03-01 00:00:00pages
547-54issue
3eissn
0341-2695issn
1432-5195pii
10.1007/s00264-015-3112-0journal_volume
40pub_type
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