BONE LENGTHENING WITH ORTHOFIX EXTERNAL FIXATOR IN TREATMENT OF TRAUMATIC RADIAL SHORTENING DEFORMITY IN CHILDREN
Objective To analyze the clinical effect of bone lengthening with Orthofix external fixator in children suffering from traumatic radial shortening deformity.Methods The clinical data of 6 patients with traumatic radial shortening deformity,who were admitted to our hospital from June 2012 to August 2015 and who underwent bone lengthening with single-arm Orthofix external fixator,were retrospectively analyzed.The 6 patients had a history of distal radialus epiphysealmetaphyseal fracture,and premature closure of distal radial epiphysis confirmed by X-ray examination.Clinical effects were assessed according to the function and appearance of the radius.Results All patients were followed up for 17 to 36 months.The deformity of all patients was improved significantly after surgery.The osteotomy was healing well,with good wrist flexion/extension,and radial de viation was corrected,with good forearm pronation/supination.There were no poor acral circulation and nonunion.One patient developed pin infection.Conclusion Bone lengthening with single-arm Orthofix external fixator can correct radial shortening deformity caused by epiphyseal injury,which is associated with a good range of motion of joint,low incidence of complications,and little operative trauma.It is a reliable and effective method for radial shortening deformity caused by epiphyseal injury in children.
bone lengtheningchildradiusepiphysistreatment outcome