Document Detail

Toe phalangeal grafts in congenital hand anomalies.
MedLine Citation:
PMID:  8228054     Owner:  NLM     Status:  MEDLINE    
The results of 73 toe phalangeal grafts were reviewed in order to determine the effects of age and operative technique on subsequent growth of the transferred phalanx. Minimum length of follow-up care for inclusion in the study was 1 year (mean, 42 months). Physeal openness and growth of transferred phalanges were determined from standard x-ray films. Physeal openness rates were 94% for those operated on before 1 year of age, 71% for those 1-2 years of age, and 48% for those older than 2 years of age. Mean growth rates were 1.0 +/- .2 mm, 1.0 +/- 0.6 mm, and 0.5 +/- 0.5 mm per year, respectively, for these three age groups. Extraperiosteal dissection of the transferred phalanx, tendon and collateral ligament reattachment, and patient age under 12 months had a statistically beneficial effect on maintaining physeal openness.
R F Radocha; D Netscher; H E Kleinert
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Journal of hand surgery     Volume:  18     ISSN:  0363-5023     ISO Abbreviation:  J Hand Surg Am     Publication Date:  1993 Sep 
Date Detail:
Created Date:  1993-12-03     Completed Date:  1993-12-03     Revised Date:  2009-06-08    
Medline Journal Info:
Nlm Unique ID:  7609631     Medline TA:  J Hand Surg Am     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  833-41     Citation Subset:  IM    
Christine M. Kleinert Institute for Hand and Micro Surgery, Louisville, KY 40202.
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MeSH Terms
Bone Development / physiology
Child, Preschool
Fingers / abnormalities*
Follow-Up Studies
Hand Deformities, Congenital / epidemiology,  surgery*
Thumb / abnormalities*
Time Factors
Toes / transplantation*

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