Single stage lengthening by intercalary bone graft in patients with congenital hand deformities.
The experience with single-stage lengthening by intercalary bone graft in four patients with congenital hand deformities is presented. In all seven lengthenings the gap was bridged by a toe phalanx bone graft. The elongation of the ray ranged from 5-14 mm. Examination of patients followed from one to five years after the treatment showed a good appearance of the lengthened ray. One bone graft assimilation resulted in a pseudoarthrosis and another had osteopenia that resolved spontaneously. All others healed uneventfully. The quality of the skin sensitivity, vascular status and tendon balance is preserved after the lengthening.
D001852:Bone Lengthening / Q000379:methods*; D002648:Child; D002675:Child, Preschool; D005260:Female; D005385:Fingers / Q000002:abnormalities / Q000601:surgery; D006225:Hand / Q000000981:diagnostic imaging / Q000601:surgery; D006228:Hand Deformities, Congenital; D006801:Humans; D008297:Male; D008663:Metacarpus / Q000601:surgery; D011183:Postoperative Complications; D011859:Radiography