Shortening and deformity of radius and ulna in children
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Shortening and deformity of radius and ulna in children : correction of axis and length by callus distraction. / Mader, Konrad; Gausepohl, Thomas; Pennig, Dietmar.
in: J PEDIATR ORTHOP B, Jahrgang 12, Nr. 3, 05.2003, S. 183-91.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Shortening and deformity of radius and ulna in children
T2 - correction of axis and length by callus distraction
AU - Mader, Konrad
AU - Gausepohl, Thomas
AU - Pennig, Dietmar
PY - 2003/5
Y1 - 2003/5
N2 - Forearm deformities in children and adolescents may be congenital or developmental, or result from trauma; they may cause pain and decreased function of the wrist and hand. In this study we treated seven patients with forearm deformities (10 forearms) by callus distraction of either the radius or ulna using a monolateral external fixator after osteotomy. Target length was achieved in all cases. The results show significant improvement in range of motion of the forearm. All patients were satisfied with the appearance. There were no complications such as pin tract infection or neural impairment. In one case delayed ossification was resolved by alternating distraction and compression. The timing of correction depends on the implications of the deformity for the carpal bones and the function of the other forearm. Monolateral external fixation proved a versatile tool for correction of forearm deformity in children and adolescents, with a low complication rate.
AB - Forearm deformities in children and adolescents may be congenital or developmental, or result from trauma; they may cause pain and decreased function of the wrist and hand. In this study we treated seven patients with forearm deformities (10 forearms) by callus distraction of either the radius or ulna using a monolateral external fixator after osteotomy. Target length was achieved in all cases. The results show significant improvement in range of motion of the forearm. All patients were satisfied with the appearance. There were no complications such as pin tract infection or neural impairment. In one case delayed ossification was resolved by alternating distraction and compression. The timing of correction depends on the implications of the deformity for the carpal bones and the function of the other forearm. Monolateral external fixation proved a versatile tool for correction of forearm deformity in children and adolescents, with a low complication rate.
KW - Adolescent
KW - Bony Callus
KW - Child
KW - Child, Preschool
KW - Exostoses, Multiple Hereditary
KW - Female
KW - Fibrous Dysplasia of Bone
KW - Forearm
KW - Growth Disorders
KW - Growth Plate
KW - Humans
KW - Male
KW - Osteogenesis, Distraction
KW - Radius
KW - Range of Motion, Articular
KW - Salter-Harris Fractures
KW - Treatment Outcome
KW - Ulna
KW - Wrist Joint
KW - Journal Article
U2 - 10.1097/01.bpb.0000057485.91570.e9
DO - 10.1097/01.bpb.0000057485.91570.e9
M3 - SCORING: Journal article
C2 - 12703032
VL - 12
SP - 183
EP - 191
IS - 3
ER -