Distraction osteogenesis for brachymetatarsia using initial circular fixator and early trans-fixation metatarsal K—wires—a series of three cases†
Autor: | Pradeep Kumar, Anand Pillai, Joshua Henry, Jo-Ann Bate |
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Jazyk: | angličtina |
Rok vydání: | 2018 |
Předmět: |
Orthodontics
030222 orthopedics External fixator business.industry medicine.medical_treatment Forefoot Case Report 030229 sport sciences Bone grafting medicine.disease 03 medical and health sciences Fixation (surgical) 0302 clinical medicine Brachymetatarsia Deformity medicine Distraction osteogenesis Surgery medicine.symptom Metatarsal bones business |
Zdroj: | Journal of Surgical Case Reports |
ISSN: | 2042-8812 |
Popis: | Brachymetatarsia is a rare forefoot deformity predominantly affecting the fourth metatarsal. Current treatment include gradual lengthening by distraction osteogenesis using an external fixator or single-stage lengthening with bone grafting or a combination of the above two procedures. Our aim was to assess outcomes and complications of a novel technique for gradual metatarsal lengthening using a circular fixator. The procedure was performed on three female patients with unilateral congenital shortening of the fourth ray. All participants reported aesthetic dissatisfaction as well as pressure related complications of the deformity and opted for lengthening and distraction osteogenesis using a frame. Mean duration of the treatment was 122 days and average length gained was 12 mm. The desired metatarsal length was achieved in all three patients with no significant complications. This method of treatment of brachymetatarsia is effective and reproducible. This a promising technique, owing to its low complication rates and efficacy in lengthening. |
Databáze: | OpenAIRE |
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