Novel Use of Pennig External Fixation for the Treatment of Pediatric Syndactyly
| العنوان: | Novel Use of Pennig External Fixation for the Treatment of Pediatric Syndactyly |
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| المؤلفون: | Mengfan Wu, Renhao Ze, Adriana C. Panayi, Qin Wang, Pan Hong, Jin Li, Xin Tang |
| المصدر: | Techniques in Hand & Upper Extremity Surgery |
| بيانات النشر: | Lippincott Williams & Wilkins, 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | Economics and Econometrics, medicine.medical_specialty, External Fixators, medicine.medical_treatment, Nonunion, surgical technique, Surgical Flaps, External fixation, external fixation, Fracture Fixation, Materials Chemistry, Media Technology, medicine, Humans, Syndactyly, child, Polydactyly, business.industry, Soft tissue, syndactyly, Forestry, Skin Transplantation, Plastic Surgery Procedures, medicine.disease, Numerical digit, Techniques, Surgery, pennig minifixator, Transplantation, Treatment Outcome, Skin grafting, business |
| الوصف: | Syndactyly is one of the most common congenital limb malformations, second only to polydactyly. Syndactyly is treated with surgical intervention. During separation, free skin grafting or skin flap transplantation is required to allow for adequate skin closure. We introduce a novel application method of the Pennig external fixation device for the management of pediatric syndactyly without skin grafting. The Pennig minifixator was used in syndactyly to expand the web space soft tissue in order to allow a Z-plasty to be performed in a second operation. All patients had developed sufficient skin tissue from the external fixation. No infection, cutaneous necrosis or nonunion was noted in any of the patients. All patients had a satisfactory outcome in terms of final appearance and digit function. On the basis of the principle of strain-stress, use of the Penning external minifixator allows development of sufficient tissue in the web space for a second phase of reconstruction in syndactyly. The need for skin grafting and risk of blood vessel damage were avoided in this study, and, the incidence of skin necrosis and scar formation was reduced. Both the patients' families and our research members expressed high satisfaction with the postoperative function and appearance. Overall, application of the Pennig external fixation frame in our novel method is effective for the management of syndactyly and should be studied further. Level of Evidence: Level IV, case series. |
| اللغة: | English |
| تدمد: | 1531-6572 1089-3393 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::4aa316937cc2e233d0fd98bb25b6cc55 http://europepmc.org/articles/PMC8601664 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....4aa316937cc2e233d0fd98bb25b6cc55 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 15316572 10893393 |
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