Distraction lengthening of the proximal phalanx in distal thumb amputations

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dc.contributor.authorCansu, Eren
dc.contributor.authorÜnal, Mehmet Bekir
dc.contributor.authorParmaksızoğlu, Fatih
dc.contributor.authorGürcan, Serkan
dc.date.accessioned10.07.201910:49:13
dc.date.accessioned2019-07-10T19:37:36Z
dc.date.available10.07.201910:49:14
dc.date.available2019-07-10T19:37:36Z
dc.date.issued2015
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Ortopedi ve Travmatoloji Ana Bilim Dalı
dc.description.abstractObjective: Thumb amputation is a major cause of hand dysfunction, and the treatment for distal thumb amputations remains controversial. Although finger reconstruction methods using distraction lengthening are known to restore finger length and function, we found no reports in the literature regarding phalangeal lengthening in thumb amputations. We aimed to evaluate proximal phalangeal lengthening in thumb amputations at or near the interphalangeal (IP) joint. Methods: We retrospectively evaluated patients who had undergone distraction lengthening of the proximal phalanx of the thumb. All patients underwent osteotomy, either during the initial procedure or as a second-stage procedure. Distraction began 10 days after osteotomy with the use of an external fixator that remained in place until ossification of the gap occurred without bone grafting. Patients were evaluated using the QuickDASH score. Results: Fourteen patients with a mean age of 27 years and a mean follow-up period of 7 years were enrolled. The mean phalangeal lengthening achieved was 20 mm. Ossification occurred at all distraction sites, and the fixators were maintained for a mean of 85 days. The mean healing index was 42.5 days/cm. All 14 patients achieved the desired amount of phalangeal lengthening without major complications such as nonunion, premature union, or gross infection. Conclusion: For reconstruction in cases of distal thumb amputations, distraction lengthening of the proximal phalanx can be used to improve absolute length, web space, and grip distance. The technique is safe and effective, improves functionality/cosmesis, and offers a low complication risk.
dc.identifier.citationCansu, E., Ünal, M. B., Parmaksızoğlu, F. ve Gürcan, S. (2015). Distraction lengthening of the proximal phalanx in distal thumb amputations. Acta Orthopaedica et Traumatologica Turcica, 49(3), 227-232. https://dx.doi.org/10.3944/AOTT.2015.14.0292
dc.identifier.doi10.3944/AOTT.2015.14.0292
dc.identifier.endpage232
dc.identifier.issn1017-995X
dc.identifier.issue3
dc.identifier.scopusqualityQ3
dc.identifier.startpage227
dc.identifier.urihttps://hdl.handle.net/20.500.12511/1437
dc.identifier.urihttps://dx.doi.org/10.3944/AOTT.2015.14.0292
dc.identifier.volume49
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakTR-Dizin
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherTurkish Society of Orthopaedics and Traumatology
dc.relation.ispartofActa Orthopaedica et Traumatologica Turcicaen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectDistraction Lengthening
dc.subjectPhalangeal Lengthening
dc.subjectThumb Amputation
dc.subjectThumb Lengthening
dc.subjectThumb Reconstruction
dc.titleDistraction lengthening of the proximal phalanx in distal thumb amputations
dc.typeArticle

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