Trauma Monthly

Trauma Monthly

A Simple and Light Weight External Fixator for Distraction Advancement Manoplasty

Authors
Shahram Nazerani
Mohammad Hosein Kalantar Motamedi
Adel Ebrahimpoor
Jalal Vahedian
Tara Nazerani
Tina Nazerani
Bardia Bidarmaghz
10.5812/traumamon.6705
Abstract
Background: With the growing interest in long bone distraction several types of distractors have been introduced; all have the same principle of an outer structure which acts like a scaffold and the distracting mechanism is a separate device which is mounted on this outer structure. Objectives: We have used a simple and very light weight external fixator we designed and discuss the results of distraction and advantages of this device . Materials and Methods: We applied our distractor to treat 14 men and four women, with a mean age of 39 years. There were three thumbs and 23 fingers; 26 digits (18 patients) lengthened by distraction callotasis and second stage bone grafting evaluated accordingly. Results: All patients but one were satisfied with the results and a stable pinch and grip was obtained. After lengthening, all patients maintained sensation of the finger pulp, as assessed by the Semes - Weinstein test. Conclusions: The superiority of this device for manoplasty lies in its simplicity of construction in addition to being, lightweight and also eases of application.
Keywords
External Fixators
Osteogenesis
Distraction
Trauma Monthly
Volume 17, Issue 3
July and August 2012
Pages 353-357