Abstract
BackgroundWith 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.ObjectivesWe 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 MethodsWe 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.ResultsAll 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.ConclusionsThe superiority of this device for manoplasty lies in its simplicity of construction in addition to being, lightweight and also eases of application.
Highlights
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
From the first reports of a new technique, i.e. long bone distraction, from Russia by Dr Ilizarov there has been growing interest in this method and several types of distractors have been introduced [1,2,3].They all have the same principle of an outer structure which acts like a scaffold and the distracting mechanism is mounted on this outer structure and the distraction mechanism slides over this
Distraction lengthening in the hand has become an established option for reconstruction in congenital anomalies and after traumatic amputations [4,5]
Summary
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. There were three thumbs and 23 fingers; 26 digits (18 patients) lengthened by distraction callotasis and second stage bone grafting evaluated . From the first reports of a new technique, i.e. long bone distraction, from Russia by Dr Ilizarov there has been growing interest in this method and several types of distractors have been introduced [1,2,3].They all have the same principle of an outer structure which acts like a scaffold and the distracting mechanism is mounted on this outer structure and the distraction mechanism slides over this
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