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Longitudinal epiphyseal growth after replantation and transplantation in children.

Publication ,  Journal Article
Nunley, JA; Spiegl, PV; Goldner, RD; Urbaniak, JR
Published in: J Hand Surg Am
March 1987

Previous investigators have shown that epiphyses are unlikely to grow after free grafting although there have been rare reports of good and even normal growth. However, growth has usually continued whenever the epiphyseal vascular supply has been maintained by microanastomosis. Of 25 growing epiphyses in our series that were transferred, 17 by replantation and eight by free tissue transfer supported by microvascular anastomosis, over an interval varying from 27 to 81 months, average length attained was 89% of normal in elective transfer, 93% of normal in replanted digits, and 92% overall. Maximum growth attained in any digit in our series was 102% of the length of the normal contralateral digit; the minimum attained was 70%.

Duke Scholars

Published In

J Hand Surg Am

DOI

ISSN

0363-5023

Publication Date

March 1987

Volume

12

Issue

2

Start / End Page

274 / 279

Location

United States

Related Subject Headings

  • Vascular Surgical Procedures
  • Toes
  • Replantation
  • Orthopedics
  • Microsurgery
  • Humans
  • Finger Injuries
  • Epiphyses
  • Child, Preschool
  • Child
 

Citation

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Nunley, J. A., Spiegl, P. V., Goldner, R. D., & Urbaniak, J. R. (1987). Longitudinal epiphyseal growth after replantation and transplantation in children. J Hand Surg Am, 12(2), 274–279. https://doi.org/10.1016/s0363-5023(87)80288-5
Nunley, J. A., P. V. Spiegl, R. D. Goldner, and J. R. Urbaniak. “Longitudinal epiphyseal growth after replantation and transplantation in children.J Hand Surg Am 12, no. 2 (March 1987): 274–79. https://doi.org/10.1016/s0363-5023(87)80288-5.
Nunley JA, Spiegl PV, Goldner RD, Urbaniak JR. Longitudinal epiphyseal growth after replantation and transplantation in children. J Hand Surg Am. 1987 Mar;12(2):274–9.
Nunley, J. A., et al. “Longitudinal epiphyseal growth after replantation and transplantation in children.J Hand Surg Am, vol. 12, no. 2, Mar. 1987, pp. 274–79. Pubmed, doi:10.1016/s0363-5023(87)80288-5.
Nunley JA, Spiegl PV, Goldner RD, Urbaniak JR. Longitudinal epiphyseal growth after replantation and transplantation in children. J Hand Surg Am. 1987 Mar;12(2):274–279.
Journal cover image

Published In

J Hand Surg Am

DOI

ISSN

0363-5023

Publication Date

March 1987

Volume

12

Issue

2

Start / End Page

274 / 279

Location

United States

Related Subject Headings

  • Vascular Surgical Procedures
  • Toes
  • Replantation
  • Orthopedics
  • Microsurgery
  • Humans
  • Finger Injuries
  • Epiphyses
  • Child, Preschool
  • Child