title: Restoration of apposition function in residual hand by the Ilizarov method: a case report.
abstract: A five-year-old boy is presented with multiple finger and toe amputations, secondary to meningococcemia. The child developed a bimanual use pattern of the upper extremities with a significant amount of soft tissue scarring. The left hand was reconstructed according to Ilizarov's method by a combination of distraction lengthening of the metacarpals with two mini-Hoffman distractors and gradual interdigital space widening with web deepening accompanied by a modified Ilizarov apparatus. One year after removal of the external fixation frame, the web space is preserved and the child is adapting to the pincer-like function of his hands.
authors.affiliation: Department of Orthopaedic Surgery, Texas Scottish Rite Hospital for Children, Dallas 75219, USA.
authors.forename: M L
authors.initials: ML
authors.lastname: Samchukov
authors.forename: M
authors.initials: M
authors.lastname: Ezaki
authors.forename: W F
authors.initials: WF
authors.lastname: Tucker
authors.forename: J D
authors.initials: JD
authors.lastname: Ross
mesh_terms: D000672:Amputation Stumps / Q000601:surgery*; D002675:Child, Preschool; D016267:External Fixators; D006225:Hand / Q000601:surgery*; D006801:Humans; D018889:Ilizarov Technique / Q000295:instrumentation / Q000379:methods; D008297:Male; D011859:Radiography; D013933:Thumb / Q000000981:diagnostic imaging / Q000502:physiology