Guzanin S
P. J. Safárik University Medical Faculty, Kosice, Czechoslovakia.
Acta Chir Plast. 1991;33(1):22-33.
The author describes three prototypes of a miniature distractor for the bones of hand constructed according to his own design, and its uses in clinical practice. The distractors are used for lengthening bones of the hand after injuries involving loss of the thumb or fingers, and for the treatment of patients with congenital developmental defects of the hand. Over a period of three years, the distractors were used in thirteen cases and Ilizarov's original apparatus in three cases: for the lengthening of metacarpus I in seven cases, metacarpus II in two cases, metacarpi II-IV in one case, metacarpi II-V also in one case. Similarly, in one case each for the elongation of the proximal and medial phalanges of fingers. A lengthening of 3.5 to 3.7 was achieved. Ilizarov's apparatus was exploited in two cases to lengthen the bone of the forearm for congenital hypoplasia of the radius and ulna, and for metatarsal bone lengthening in a case of congenital aplasia of the toes and hypoplasia of the remaining bones of the foot. In the last three cases a lengthening of 10 cm was achieved.
作者描述了根据其自身设计制造的用于手部骨骼的微型撑开器的三种原型及其在临床实践中的应用。这些撑开器用于在拇指或手指缺失的损伤后延长手部骨骼，以及治疗手部先天性发育缺陷患者。在三年的时间里，这些撑开器用于13例患者，伊利扎罗夫（Ilizarov）的原始器械用于3例患者：用于延长第一掌骨7例，第二掌骨2例，第二至第四掌骨1例，第二至第五掌骨1例。同样，手指近节和中节指骨延长各1例。实现了3.5至3.7的延长。伊利扎罗夫的器械在2例患者中用于因桡骨和尺骨先天性发育不全而延长前臂骨骼，以及在1例先天性脚趾缺如和足部其余骨骼发育不全的病例中用于跖骨延长。在最后3例中实现了10厘米的延长。
