Table 3.
The Long-term Results
| Hand No./Sex | Age (Years) | Body Height (cm) | Follow-up Time (Years) | Ulna Length (cm) | RUL (%) | Hand- Forearm Angle (Degrees) | Ulna Bowing (Degrees) | Wrist TAM (Degrees) | MTP Joint Configuration | Y-fork Balance MT ULNA (mm) | Donor Foot | Overall Result | Hand-Forearm Angle in 2007 Compared with That in 1998; Increased by (Degrees) | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| RUL (relative ulna length) in mean: cases 9, 11, and 17 omitted from calculation (special short stature or previous operation). | ||||||||||||||
| TAR = a TAR–syndrome patient. | ||||||||||||||
| 1/M | 25 | 178 | 19.5 | 19 | 66 | 45 | 0 | 70 | Okay | Joint transport | Okay | Poor | 10 | |
| 2/M | 18 | 167 | 17 | 20 | 71 | 20 | 40 | 80 | Mild subluxation | 36 | 50 | Okay | Satisfactory | 10 |
| 3/M | 30 | 179 | 16.5 | 18 | 62 | 20 | 0 | 30 | Okay | 37 | 63 | Okay | Poor | 5 |
| 4/M | 17 | 170 | 16 | 19 | 70 | 35 | 50 | 65 | Subluxed | Joint transport | Okay | Poor | 10 | |
| 5/F | 16 | 167 | 15 | 17 | 65 | 30 | 30 | 75 | Mild subluxation | 37 | 47 | Pain Occasional | Good | 20 |
| 6/F dx* | 16 | 149 | 14.5 | 15 | 60 | 35 | 0 | 90 | Okaya | TAR | Okay | Satisfactory | 10 | |
| 7/M | 15 | 150 | 13.5 | 16 | 74 | 25b | 0 | 80 | Okayb | 33 | 44 | Okay | Satisfactory | 20 |
| 8/F sin* | 16 | 149 | 13 | 14 | 56 | 25c | 15 | 90 | Fusedc | TAR | Okay | Good | -5c | |
| 9/F | 16.5 | 120 | 12 | 14 | 51 | 35 | 15 | 70 | Mild subluxation | 37 | 47 | Okay | Satisfactory | 0 |
| 10/F | 13 | 160 | 10.5 | 17 | 68 | 40 | 20 | 50 | Subluxed | Joint transport | Hallux valgus | Poor | ||
| 11/M | 15.5 | 160 | 9 | 14.5 | 45 | 15 | 20 | 75 | Okay | 48 | 40 | Scar to I | Good | |
| 12/M | 11 | 148 | 9 | 16 | 68 | 20 | 20 | 110 | Okay | 54 | 53 | Okay | Good | |
| 13/M | 9.5 | 125 | 8.5 | 13.5 | 65 | 40 | 20 | 85 | Okay | 30 | 30 | Okay | Satisfactory | |
| 14/F | 11 | 134 | 8 | 14 | 67 | 10 | 10 | 115 | Okay | 43 | 41 | Okay | Good | |
| 15/M | 9.5 | 130 | 7.5 | 14 | 67 | 30 | 30 | 90 | Okay | 35 | 31 | Okay | Satisfactory | |
| 16/F | 8.5 | 133 | 6.5 | 13.5 | 67 | 20 | 10 | 115 | Mild subluxation | 40 | 36 | Okay | Good | |
| 17/M | 8.5 | 130 | 5.5 | 15 | 78 | 65 | 0 | 80 | MT head necrosis | 27 | 40 | Okay | Poor | |
| 18/F | 10 | 108 | 5 | 10 | 49 | 0 | 30 | 110 | Okay | 40 | 35 | Scar to III | Good | |
| 19/F | 7.5 | 122 | 4 | 12 | 69 | 20 | 15 | 100 | Okay | 40 | 38 | Okay | Good | |
| Average | 14.4 | 146 | 11 | 15.4 | 67 | 28 | 17 | 83 | 36 | 42 | ||||
*
Hand 6 = the right and hand 8 = the left of a patient treated bilaterally.
a
TAR patient and the MTP joint is in proximal location. The motion comes partly from the original wrist joint.
b
Continuously a pseudarthrosis at the junction of proximal phalanx and the base of second metatarsal allowing an abnormal mobility to radial deviation.
c
The mobility at the wrist is excellent at the original wrist joint. In this TAR patient, a vascular failure did lead to joint fragmentation, but there has appeared a distal small portion of the radius. This distal radius part with the fragments of the joint graft is now fused to the MT bone. That induced a correction of the hand forearm angle with 30 degrees.