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Between 2002 and 2007, we performed soft tissue distraction on 33 patients aged 6 months to 51 years with a variety of hand disorders leading to contracture.
There has been no mention of using the distal phalanx to achieve phalangeal, metacarpal, or soft tissue distraction in the literature.
It does not enable deviations from the preoperative plan, including cases where the required soft tissue distraction appears to be impossible.
In the first stage, soft tissue distraction would be achieved by application of radial distractor across the wrist to correct wrist flexion and radial deviation.
Soft tissue distraction for the management of radial club hand before the operation is becoming a standard in this category of patients [2].
Soft tissue distraction (STD) is an increasingly accepted operation in all fields of hand surgery from elbow contracture release to PIP joint release.
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Thus, the elongation of bones and their soft tissues (distraction osteogenesis and histogenesis) through external fixation is a method of treatment for various diseases that generates good results although it has difficulties.
This device allows continuous elongation of the contracted soft tissue and distraction of the contracted joints prior to fasciectomy in 2003.
In addition we performed cross finger flaps in appropriate cases to fill the skin defects when sever 4th degree contraction demanded additional soft tissue cover and distraction therapy was not an option.
In our method, the distraction force is perpendicular to the pin inserted, and also because of its pentagonal design, it will exert pressure only on the bone; no soft tissue structure is involved in distraction.
Manual distraction, gentle soft tissue massage, hot or cold therapy, and active or passive muscle stretching can be used to facilitate or as an adjunct to SMT.
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