Fourth Brachymetatarsia Treated by Distraction Osteogenesis / 대한정형외과학회잡지
The Journal of the Korean Orthopaedic Association
;
: 505-510, 2002.
Article
in Korean
| WPRIM
| ID: wpr-648221
ABSTRACT
PURPOSE:
We retrospectively reviewed outcomes, complications and their influencing factors after distraction osteogenesis for fourth brachymetatarsia. MATERIALS ANDMETHODS:
We performed twenty-two cases of metatarsal lengthening with external fixator in sixteen patients for fourth brachymetatarsia from May 1998 to May 2000. At the final follow-up, AOFAS scores were awarded according to stiffness, pain, function, alignment and the satisfaction of patients.RESULTS:
On average, the gain in length was 16.5 mm, the percentage of lengthening 38.9%, and the healing index 72.9 days/cm. There were some complications including subluxation of the metatarsophalangeal joint in 7 cases, stiffness in 5 cases, pin tract infection in 2 cases, and angular deformity in 3 cases. Those having a percentage of lengthening of less than 40% and those involving only the metatarsus had better results. Most patients were satisfied with the corrected result, though one unsatisfied patient underwent revision surgery.CONCLUSION:
Even though distraction osteogenesis for fourth brachymetatarsia is effective, excessive lengthening in patients involving both metatarsus and phalange can produce minor complications.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Awards and Prizes
/
Congenital Abnormalities
/
Metatarsal Bones
/
Metatarsus
/
Retrospective Studies
/
Follow-Up Studies
/
External Fixators
/
Osteogenesis, Distraction
/
Metatarsophalangeal Joint
Type of study:
Observational study
/
Prognostic study
Limits:
Humans
Language:
Korean
Journal:
The Journal of the Korean Orthopaedic Association
Year:
2002
Type:
Article
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