Operative Treatment for Brachymetatarsia / 대한정형외과학회잡지
The Journal of the Korean Orthopaedic Association
;
: 256-262, 2002.
Article
in Korean
| WPRIM
| ID: wpr-653272
ABSTRACT
PURPOSE:
To evaluate the importance of various surgical techniques in the treatment of brachymetatarsia. MATERIALS ANDMETHODS:
The study involved 33 cases, categorized as follows group A treated by one-stage lengthening (4) or callotasis (9) without bone shortening; group B treated either by one-stage lengthening (3) or callotasis (15) with bone shortening or bone shortening only (2). Fifteen patients were reviewed in terms of the length gain (LG), healing index (HI), percentage increase (PI), and complications.RESULTS:
The results in both group A [one-stage lengthening (mean LG 1.4 cm, HI 1.2 months/cm, PI 0.3) and callotasis distraction (LG 1.8 cm, HI 2.2 months/cm, PI 0.4)] and group B [one-stage lengthening (LG 1.3 cm, HI 1.3 months/cm, PI 0.3) and callotasis (LG 1.8 cm, HI 2.1 months/cm, PI 0.5)] were satisfactory. The averaged amount of bone shortening at 23 levels was 0.8 cm. It magnified the cosmetic effect and consequently reduced on average 1.8 months after treatment period in the callotasis group.CONCLUSION:
In managing brachymetatarsia, bone shortening of the neighboring metatarsal and phalanx, a form of epiphysiodesis, and surrounding soft tissue release reduce the treatment period and the associated complications.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Metatarsal Bones
/
Osteogenesis, Distraction
Limits:
Humans
Language:
Korean
Journal:
The Journal of the Korean Orthopaedic Association
Year:
2002
Type:
Article
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