Fultz C W, Lester D K, Hunter J M
J Hand Surg Br. 1986 Feb;11(1):40-6. doi: 10.1016/0266-7681(86)90009-4.
The experience with single-stage lengthening by intercalary bone graft in four patients with congenital hand deformities is presented. In all seven lengthenings the gap was bridged by a toe phalanx bone graft. The elongation of the ray ranged from 5-14 mm. Examination of patients followed from one to five years after the treatment showed a good appearance of the lengthened ray. One bone graft assimilation resulted in a pseudoarthrosis and another had osteopenia that resolved spontaneously. All others healed uneventfully. The quality of the skin sensitivity, vascular status and tendon balance is preserved after the lengthening.
本文介绍了4例先天性手部畸形患者采用节段性骨移植进行单阶段延长的经验。在所有7次延长手术中，间隙均由趾骨移植桥接。射线延长范围为5-14毫米。对治疗后1至5年的患者进行检查，结果显示延长后的射线外观良好。1例骨移植吸收导致假关节形成，另1例出现骨质减少，但自行缓解。其他所有病例均顺利愈合。延长术后皮肤感觉、血管状况和肌腱平衡的质量得以保留。
