Temporary Application of the Silicone Block for Reconstruction of the Pediatric Hand and Foot.
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概要
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Reconstructive operations using silicone block instead of autograft were performed in our department for bone defects in hands and feet of children. Study was made on the postoperative results and indications of procedure.From 1988 to 1997 this procedure was performed on 14 patients composed of 5 males and 9 females whose ages at time of the operations ranged from 0 to 13 years with a mean of 5.1 years. The insertion sites of silicone block were the thumb in 4 patients, the finger in 2 patients, the palm in 2 patients, the toe in 3 patients and the foot in 3 patients. The causative diseases were synbrachydactyly in 4 patients, cleft foot in 3 patients, hypoplastic thumb in 1 patient, hypoplastic ulnar ray in 1 patient, amputated thumb in 3 patients, osteomyelitis in 1 patient, and bone absorption caused by blood flow disorder in 1 patient. Follow-up periods ranged from 2 years and 2 months to 14 years and 4 months with a mean of 3 years and 7 months.Use of silicone block brought about improvement in activity of daily life and in the level of cosmetic satisfaction in all 14 patients. Joint transfer, wrap-around flap, web space plasty, and bone graft were performed as final reconstructive operations following removal of silicone block in 4 of the 14 patients. However, block removal had to be made because of infection and skin necrosis in 4 patients. The remaining 6 patients now await secondary reconstructive operations, but they do not complain of pain or discomfort. It is considered that in children recostruction of the hand and foot with temporary use of silicone block is a useful palliative operation until the final reconstructive operation is performed.
- 中国・四国整形外科学会の論文
中国・四国整形外科学会 | 論文
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