Correction of long term joint contractures of the hand by distraction. A case report

British journal of plastic surgery Pub Date : 2005-12-01 DOI:10.1016/j.bjps.2005.04.028

P. Natividade da Silva, R. Barbosa, P. Ferreira, A. Ferreira, E. Malheiro, A. Silva, J. Reis, J. Amarante

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引用次数: 8

Abstract

Joint contractures are a common complication of hand trauma. The conventional treatment consists of arthrolysis, tenolysis and occasionally arthrodesis. Frequently, this does not achieve a good result, particularly when there has been a long delay in presentation. Progressive lengthening of a joint by distraction (joint distraction) allows the release of joint contractures even in cases of failure of traditional methods.

We present a case of a delayed (20 years) work related traumatic flexion deformity of the PIP joint of the left index and middle fingers. This was the result of a complete division of both flexor tendons of both fingers.

The range of movements, both active and passive, was limited to 90/100° in the index finger and 95/100° in the middle finger. Following joint distraction using our lengthening device (Antão™, Portugal) the patient was able to achieve an active and passive range of movements of 10/100° for the PIP joint of the index finger and 40/100° of the middle.

This clinical case shows the simplicity and application of our technique for the correction of joint contractures.

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牵张法矫正手部长期关节挛缩。病例报告

关节挛缩是手部外伤的常见并发症。常规治疗包括关节松解、肌腱松解和偶尔的关节融合术。通常情况下，这并不能取得好的结果，特别是在演示过程中有很长时间的延迟。通过牵张(关节牵张)逐步延长关节，即使在传统方法失败的情况下，也可以解除关节挛缩。我们提出了一个延迟(20年)的工作相关的外伤性屈曲畸形的左食指和中指PIP关节。这是两个手指的屈肌腱完全分裂的结果。主动和被动活动范围均限制在食指90/100°和中指95/100°。使用我们的延长装置(ant™，葡萄牙)进行关节牵引后，患者能够实现食指PIP关节10/100°和中指40/100°的主动和被动活动范围。这个临床病例显示了我们的技术在矫正关节挛缩方面的简单和应用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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British journal of plastic surgery

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