Abstract

CARAVANTES, M.I.; TRIMMER, J.A.  and  SASTRE, A.N.. Osseous distraction in longitudinal deficiency of thoracic limb. Cir. plást. iberolatinoam. [online]. 2012, vol.38, n.3, pp.239-246. ISSN 1989-2055.  https://dx.doi.org/10.4321/S0376-78922012000300005.

At present, osseous distraction has been used increasingly and its applications are importantly extended above all to gain length in osseous structures in children. A 3 year old child case with congenital malformation of right thoracic limb consisting of alteration in the postaxial longitudinal development, Bayne type IV, accompanied by radial shortening and radius-humerus fusion is presented. He was treated by symmetric distraction uniplanar of radius and cubitus in the first surgical time, until reaching a 7.5 cm elongation of both bones. In the second surgical time the distractor was removed and hand centralized. Humerus distraction with a 3cm gain was done six months after, taking the limb to a length same with the healthy limb and finally a functional arthrodesis of the radius-humerus union was done.

Keywords : Thoracic limb; Longitudinal deficit of thoracic limb; Osseous distraction.

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