Restoration of apposition function in residual hand by the Ilizarov method: a case report.
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.
Samchukov
M L
ML
Department of Orthopaedic Surgery, Texas Scottish Rite Hospital for Children, Dallas 75219, USA.
Ezaki
M
M
Tucker
W F
WF
Ross
J D
JD
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