The treatment of congenital brachymetatarsia by one-stage lengthening

Goo Hyun Baek, Moon Sang Chung

Research output: Contribution to journalArticle

51 Citations (Scopus)

Abstract

We performed one-stage lengthening using intercalary autogenous bone graft in 34 metatarsals and seven proximal phalanges in 21 patients with congenitally short metatarsals. At operation, in order to decrease the tension in the surrounding soft tissues, we gradually distracted the osteotomies of the affected bones for 20 to 30 minutes. The patients, all women, were followed up for a mean period of 2.1 years (1 to 6.5). The average gain in length for the 34 metatarsal procedures was 14 mm (6 to 21), equivalent to an increase of 32% (11 to 51), and for the seven proximal phalangeal lengthenings 8 mm (5 to 11), an increase of 54% (47 to 65). There was no evidence of neurovascular impairment. The technique of gradual distraction during operation is simple and effective. It overcomes the disadvantages of one-stage lengthening such as a small gain in length and neurovascular damage.

Original languageEnglish
Pages (from-to)1040-1044
Number of pages5
JournalJournal of Bone and Joint Surgery - Series B
Volume80
Issue number6
DOIs
StatePublished - 1 Jan 1998

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Metatarsal Bones
Bone and Bones
Osteotomy
Therapeutics
Transplants

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The treatment of congenital brachymetatarsia by one-stage lengthening. / Baek, Goo Hyun; Chung, Moon Sang.

In: Journal of Bone and Joint Surgery - Series B, Vol. 80, No. 6, 01.01.1998, p. 1040-1044.

Research output: Contribution to journalArticle

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