Related Experiment Videos
[Finger lengthening by the modified Gillies method]
L Kaczmarzyk1, J Jabłecki, R Kocieba
1Ośrodek Replantacji Kończyn, Mikrochirurgii, Chirurgii Reki, Trzebnicy.
Chirurgia Narzadow Ruchu I Ortopedia Polska
|January 1, 1997
Summary
Bone grafts from the iliac crest successfully lengthened thumbs and fingers in 7 patients. This surgical option offers a viable alternative for individuals unwilling to undergo toe-to-hand procedures, with no graft resorption observed.
Area of Science:
- Orthopedic surgery
- Hand surgery
- Bone grafting techniques
Context:
- Congenital or acquired hand deformities often require surgical intervention for functional restoration.
- Toe-to-hand transplantation is a common reconstructive option but may not be suitable for all patients.
- Bone lengthening procedures are essential for improving hand function and aesthetics.
Purpose:
- To evaluate the efficacy and safety of iliac crest bone grafting for lengthening digits (thumbs and fingers).
- To present an alternative surgical technique for patients who decline toe-to-hand procedures.
- To assess graft healing and long-term stability in patients undergoing digit lengthening.
Summary:
- Seven patients underwent digit lengthening (four thumbs, six fingers) using iliac crest bone grafts.
- Grafts were inserted into the proximal phalanx or first metacarpal stumps.
- All procedures demonstrated successful graft healing without complications or resorption during follow-up.
Impact:
- This technique provides a successful alternative for digit lengthening, particularly for patients who cannot or will not undergo toe-to-hand surgery.
- The iliac crest bone graft is a reliable source for bone lengthening in hand reconstruction.
- The study highlights a safe and effective method for improving hand morphology and function.