Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

[Progressive forearm lengthening in children: 14 cases].

F Launay1, J L Jouve, J M Guillaume

  • 1Service de Chirurgie Infantile et Orthopédie, Hôpital d'Enfants de la Timone, 264, rue Saint-Pierre, 13385 Marseille Cedex 05, France.

Revue De Chirurgie Orthopedique Et Reparatrice De L'Appareil Moteur
|February 15, 2002
PubMed
Summary

Forearm lengthening in children using an intramedullary guide wire and external fixation improves bone healing and reduces complications. This technique is particularly beneficial for malformed forearms, simplifying the procedure.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Operative management of supracondylar humeral fractures in children: Comparison of five fixation methods.

Orthopaedics & traumatology, surgery & research : OTSR·2017
Same author

Evaluation of the external fixator TrueLok Hexapod System for tibial deformity correction in children.

Orthopaedics & traumatology, surgery & research : OTSR·2017
Same author

Correction of axial deformity during lengthening in fibular hypoplasia: Hexapodal versus monorail external fixation.

Orthopaedics & traumatology, surgery & research : OTSR·2017
Same author

Posterior elements disruption with hybrid constructs in AIS patients: is there an impact on proximal junctional kyphosis?

Archives of orthopaedic and trauma surgery·2017
Same author

[Total hip arthroplasty in children and adolescents].

European journal of orthopaedic surgery & traumatology : orthopedie traumatologie·2017
Same author

Intraoperative spinal cord monitoring: Lesional level diagnosis.

Orthopaedics & traumatology, surgery & research : OTSR·2016

Area of Science:

  • Orthopedic surgery
  • Pediatric orthopedics
  • Limb reconstruction

Background:

  • Forearm lengthening in children has limited indications and various proposed techniques.
  • Congenital conditions like radial agenesis and hereditary multiple exostosis are primary causes for forearm lengthening.
  • Both radius and ulna can be involved in forearm lengthening procedures.

Purpose of the Study:

  • To report the experience with progressive forearm lengthening in children using a unilateral axial external fixator.
  • To evaluate an improved technique involving initial intramedullary guide wire insertion.
  • To assess the efficacy and safety of this method in pediatric forearm reconstruction.

Main Methods:

  • 14 forearm lengthenings were performed in 9 children using a unilateral axial external fixator.

Related Experiment Videos

  • Osteotomy followed by progressive distraction was employed, with subtraction osteotomy for axial deviation correction.
  • An intramedullary guide wire was inserted in the last 10 cases to aid bone alignment and healing.

    • Main Results:

    • Mean lengthening achieved was 26.4 mm, with no nerve or vessel complications.
    • Six cases required secondary bone grafting due to delayed healing (healing index: 61.9 days/cm).
    • Three cases presented with axial deviation at the end of lengthening.

    Conclusions:

    • Intramedullary guide wire insertion reduced late healing and axial deviation risks.
    • The technique facilitated more rapid bone healing, allowing earlier fixator removal.
    • This method, especially with initial osteotomy for alignment, is valuable for malformed forearms.