Bone Lengthening in the Pediatric Upper Extremity.
J Bone Joint Surg Am
; 98(17): 1490-503, 2016 Sep 07.
Article
em En
| MEDLINE
| ID: mdl-27605694
ABSTRACT
â¤Bone lengthening has been used successfully for several congenital and acquired conditions in the pediatric clavicle, humerus, radius, ulna, and phalanges.â¤Common indications for bone lengthening include achondroplasia, radial longitudinal deficiency, multiple hereditary exostosis, brachymetacarpia, symbrachydactyly, and posttraumatic and postinfectious growth arrest.â¤Most authors prefer distraction rates of <1 mm/day for each bone in the upper extremity except the humerus, which can safely be lengthened by 1 mm/day.â¤Most authors define success by the amount of radiographic bone lengthening, joint motion after lengthening, and subjective patient satisfaction rather than validated patient-related outcome measures.â¤Bone lengthening of the upper extremity is associated with a high complication rate, with complications including pin-track infections, fixation device failure, nerve lesions, nonunion, fracture of regenerate bone, and joint dislocations.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Alongamento Ósseo
/
Extremidade Superior
Limite:
Adolescent
/
Child
/
Humans
Idioma:
En
Revista:
J Bone Joint Surg Am
Ano de publicação:
2016
Tipo de documento:
Article
País de afiliação:
Áustria