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A simple and light weight external fixator for distraction advancement manoplasty.

Nazerani S, Kalantar Motamedi MH, Ebrahimpoor A, Vahedian J, Nazerani T, Nazerani T, Bidarmaghz B - Trauma Mon (2012)

Bottom Line: We have used a simple and very light weight external fixator we designed and discuss the results of distraction and advantages of this device .After lengthening, all patients maintained sensation of the finger pulp, as assessed by the Semes - Weinstein test.The superiority of this device for manoplasty lies in its simplicity of construction in addition to being, lightweight and also eases of application.

View Article: PubMed Central - PubMed

Affiliation: Department of Surgery, Tehran University of Medical Sciences, Tehran, IR Iran.

ABSTRACT

Background: With the growing interest in long bone distraction several types of distractors have been introduced; all have the same principle of an outer structure which acts like a scaffold and the distracting mechanism is a separate device which is mounted on this outer structure.

Objectives: We have used a simple and very light weight external fixator we designed and discuss the results of distraction and advantages of this device .

Materials and methods: We applied our distractor to treat 14 men and four women, with a mean age of 39 years. There were three thumbs and 23 fingers; 26 digits (18 patients) lengthened by distraction callotasis and second stage bone grafting evaluated accordingly.

Results: All patients but one were satisfied with the results and a stable pinch and grip was obtained. After lengthening, all patients maintained sensation of the finger pulp, as assessed by the Semes - Weinstein test.

Conclusions: The superiority of this device for manoplasty lies in its simplicity of construction in addition to being, lightweight and also eases of application.

No MeSH data available.


Related in: MedlinePlus

The Distraction is Complete
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fig470: The Distraction is Complete

Mentions: A 26 year old Taxi driver with amputation of index and long fingers from a childhood accident requested lengthening of the stumps so he can wear finger prostheses (Figures 5 and 6). The remaining phalanges were too short for distraction with two parallel pins so we inserted a small two holes plate at the osteotomy site in order to get more anchorage for distraction. The distraction was successful and a length of 24 mm was achieved which was bone grafted at the second stage (Figures 7 and 8). The graft healed but with some volar bending of the proximal bones. After a web deepening procedure with skin graft he was able to wear the finger prostheses he had requested (Figure 9).


A simple and light weight external fixator for distraction advancement manoplasty.

Nazerani S, Kalantar Motamedi MH, Ebrahimpoor A, Vahedian J, Nazerani T, Nazerani T, Bidarmaghz B - Trauma Mon (2012)

The Distraction is Complete
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3860630&req=5

fig470: The Distraction is Complete
Mentions: A 26 year old Taxi driver with amputation of index and long fingers from a childhood accident requested lengthening of the stumps so he can wear finger prostheses (Figures 5 and 6). The remaining phalanges were too short for distraction with two parallel pins so we inserted a small two holes plate at the osteotomy site in order to get more anchorage for distraction. The distraction was successful and a length of 24 mm was achieved which was bone grafted at the second stage (Figures 7 and 8). The graft healed but with some volar bending of the proximal bones. After a web deepening procedure with skin graft he was able to wear the finger prostheses he had requested (Figure 9).

Bottom Line: We have used a simple and very light weight external fixator we designed and discuss the results of distraction and advantages of this device .After lengthening, all patients maintained sensation of the finger pulp, as assessed by the Semes - Weinstein test.The superiority of this device for manoplasty lies in its simplicity of construction in addition to being, lightweight and also eases of application.

View Article: PubMed Central - PubMed

Affiliation: Department of Surgery, Tehran University of Medical Sciences, Tehran, IR Iran.

ABSTRACT

Background: With the growing interest in long bone distraction several types of distractors have been introduced; all have the same principle of an outer structure which acts like a scaffold and the distracting mechanism is a separate device which is mounted on this outer structure.

Objectives: We have used a simple and very light weight external fixator we designed and discuss the results of distraction and advantages of this device .

Materials and methods: We applied our distractor to treat 14 men and four women, with a mean age of 39 years. There were three thumbs and 23 fingers; 26 digits (18 patients) lengthened by distraction callotasis and second stage bone grafting evaluated accordingly.

Results: All patients but one were satisfied with the results and a stable pinch and grip was obtained. After lengthening, all patients maintained sensation of the finger pulp, as assessed by the Semes - Weinstein test.

Conclusions: The superiority of this device for manoplasty lies in its simplicity of construction in addition to being, lightweight and also eases of application.

No MeSH data available.


Related in: MedlinePlus