PubMed · 5551608
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S Boloczko, M Rzaczyński. 1971. [Compression set for long bone epiphyses].. https://pubmed.ncbi.nlm.nih.gov/5551608/
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The results of 21 non-vascularized toe phalanx transfers in 13 patients were reviewed radiologically with respect to function, physeal patency, growth and donor site morbidity at a mean follow-up of 7.4 (range 2.9-13.6) years. Physeal patency was maintained in 4 of 18 surviving transfers. The length of the transferred phalanx averaged 75% of the contralateral comparable toe phalanx and 44% of the contralateral digit proximal phalanx. Most patients had good or simple use of the hand with active joint motion. There was universal shortening of the donor toe with hypoplasia of the middle and distal phalanges. This review suggests that transfer of a non-vascularized toe phalanx provides a reliable but limited means for increasing length of a digit, stabilizing soft tissue "nubbins" and improving function. Longer follow-up has shown more modest gains in growth than in some previous reports.
This article describes, for the first time, the supraperiostic technique used for aesthetic purposes to remedy hemiatrophy, genu valgum, poliomyelitis sequela, and thin legs. For genu valgum and thin legs, a solid prosthesis was used, whereas for severe hemiatrophy a double light prosthesis was used as a tissue expansor, with excellent reports. The advantages of this technique are delineated further in this article.
Early reports of open reduction and internal fixation of fractures of the radial head were positive, perhaps because of the prevalence of isolated partial head fractures for which good results would be expected. Subsequent reports have found that complex fractures of the radial head are prone to early failure, nonunion, and poor forearm rotation after operative fixation. Combined with increased availability and use of metal radial head prosthesis for complex fractures of the radial head, the role of open reduction and inter-nal fixation is being redefined.