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The mean amount of lengthening was 27 mm in group A and 25 mm in group B. The mean percentage increase in length was 35% and 17%, respectively. The mean duration of fixation was 159 days and 127 days, respectively. The Healing Index had a positive correlation with the age at surgery in group A, but not in group B. The main complication was callus deformity after the removal of a fixator, which was especially frequent in group A. To avoid complications, the aetiology of shortening and the age of the patient should be considered when deciding the surgical protocol.<\/jats:p>","DOI":"10.1054\/jhsb.1999.0309","type":"journal-article","created":{"date-parts":[[2002,9,17]],"date-time":"2002-09-17T20:07:47Z","timestamp":1032293267000},"page":"15-21","source":"Crossref","is-referenced-by-count":28,"title":["Distraction Lengthening of the Forearm for Congenital and Developmental Problems"],"prefix":"10.1177","volume":"25","author":[{"given":"E.","family":"HORII","sequence":"first","affiliation":[{"name":"From the Orthopaedic Department, Nagoya University, Nagoya, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R.","family":"NAKAMURA","sequence":"additional","affiliation":[{"name":"From the Orthopaedic Department, Nagoya University, Nagoya, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"E.","family":"NAKAO","sequence":"additional","affiliation":[{"name":"From the Orthopaedic Department, Nagoya University, Nagoya, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H.","family":"KATO","sequence":"additional","affiliation":[{"name":"From the Orthopaedic Department, Nagoya University, Nagoya, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H.","family":"YAJIMA","sequence":"additional","affiliation":[{"name":"From the Orthopaedic Department, Nagoya University, Nagoya, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2000,2,1]]},"reference":[{"key":"b1-10.1054_jhsb.1999.0309","doi-asserted-by":"publisher","DOI":"10.1016\/S0266-7681(96)80090-8"},{"key":"b2-10.1054_jhsb.1999.0309","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199301000-00003"},{"key":"b3-10.1054_jhsb.1999.0309","doi-asserted-by":"publisher","DOI":"10.1016\/0363-5023(93)90367-C"},{"key":"b4-10.1054_jhsb.1999.0309","doi-asserted-by":"publisher","DOI":"10.1016\/0266-7681(91)90023-H"},{"key":"b5-10.1054_jhsb.1999.0309","doi-asserted-by":"crossref","first-page":"707","DOI":"10.1016\/S0749-0712(21)01021-0","volume":"9","author":"Dahl MT","year":"1993","journal-title":"Hand Clinics"},{"key":"b6-10.1054_jhsb.1999.0309","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198466050-00004"},{"key":"b7-10.1054_jhsb.1999.0309","doi-asserted-by":"publisher","DOI":"10.1097\/01241398-199805000-00019"},{"key":"b8-10.1054_jhsb.1999.0309","doi-asserted-by":"publisher","DOI":"10.1016\/S0266-7681(98)80173-3"},{"key":"b9-10.1054_jhsb.1999.0309","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.71B1.2914999"},{"key":"b10-10.1054_jhsb.1999.0309","doi-asserted-by":"publisher","DOI":"10.1097\/01241398-199401000-00019"},{"key":"b11-10.1054_jhsb.1999.0309","doi-asserted-by":"crossref","first-page":"186","DOI":"10.1016\/S0266-7681(98)80172-1","volume":"23","author":"Pickford MA","year":"1989","journal-title":"Journal of Hand Surgery"},{"key":"b12-10.1054_jhsb.1999.0309","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.68B4.3488318"},{"key":"b13-10.1054_jhsb.1999.0309","doi-asserted-by":"publisher","DOI":"10.1016\/S0363-5023(10)80163-7"},{"key":"b14-10.1054_jhsb.1999.0309","first-page":"1605","volume":"41","author":"Shimazaki A","year":"1998","journal-title":"Central Japan Journal of Orthopaedic Traumatology"},{"key":"b15-10.1054_jhsb.1999.0309","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199604000-00010"},{"key":"b16-10.1054_jhsb.1999.0309","doi-asserted-by":"crossref","first-page":"125","DOI":"10.1097\/00003086-199001000-00015","volume":"250","author":"Villa A","year":"1990","journal-title":"Clinical Orthopaedics and Related Research"},{"key":"b17-10.1054_jhsb.1999.0309","doi-asserted-by":"publisher","DOI":"10.1016\/S0363-5023(85)80074-5"}],"container-title":["Journal of Hand Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1054\/jhsb.1999.0309","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1054\/jhsb.1999.0309","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T22:41:03Z","timestamp":1777502463000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1054\/jhsb.1999.0309"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2000,2]]},"references-count":17,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2000,2]]}},"alternative-id":["10.1054\/jhsb.1999.0309"],"URL":"https:\/\/doi.org\/10.1054\/jhsb.1999.0309","relation":{},"ISSN":["0266-7681"],"issn-type":[{"value":"0266-7681","type":"print"}],"subject":[],"published":{"date-parts":[[2000,2]]}}}