Seitz W H, Froimson A I
Department of Orthopedic Surgery, Mt Sinai Medical Center, Cleveland, OH 44106-4198, USA.
Orthopedics. 1995 Feb;18(2):129-38. doi: 10.3928/0147-7447-19950201-11.
A series of 14 lengthenings for congenital and posttraumatic digital deficiency has been carried out in a single stage utilizing individual, half-frame design, digital lengthening devices. These devices have afforded individual digital stability without need for additional external support and have provided between 2.0 cm and 3.5 cm lengthening per digit. In only one case was additional bone grafting necessary and in all cases the projected goal of lengthening was achieved. A slow rate of lengthening (0.25 mm in four daily increments) was associated with a minimal amount of pain, patients were able to utilize their hand for function during the lengthening period, and, in cases where physeal plates have remained open, continued growth has been experienced in the follow-up period.
使用个体化的半框架设计的手指延长装置，对14例先天性和创伤后手指缺损患者进行了一期系列延长手术。这些装置可提供个体化的手指稳定性，无需额外的外部支撑，每根手指延长2.0厘米至3.5厘米。仅1例需要额外植骨，所有病例均达到了预期的延长目标。缓慢的延长速度（每天4次，每次0.25毫米）与最小程度的疼痛相关，患者在延长期间能够用手进行功能活动，并且在骨骺板仍开放的病例中，随访期间出现了持续生长。
