Treatment of post-replantation retardation of bone growth by callus distraction. A report of two cases.
Hand and forearm replantation in children may lead to premature closure of the distal radial or ulnar growth-plates. Following successful replantation, bone growth may be retarded, resulting in a length discrepancy between the radius and ulna with secondary deviation of the replanted hand. We present two cases in which callus distraction was employed to correct a length discrepancy. The relative merits of the various treatment options are discussed.
Graf
P
P
Department of Plastic and Reconstructive Surgery, Technical University Hospital, Klinikum rechts der Isar, München, Germany.
Biemer
E
E
D000673:Amputation, Traumatic / Q000601:surgery; D002146:Bony Callus / Q000601:surgery*; D002675:Child, Preschool; D005260:Female; D006130:Growth Disorders / Q000209:etiology* / Q000601:surgery*; D006132:Growth Plate / Q000601:surgery*; D006801:Humans; D008297:Male; D009985:Orthopedics / Q000379:methods*; D012092:Replantation / Q000009:adverse effects*; D000072042:Salter-Harris Fractures