Document Detail

Correcting and lengthening of metatarsal deformity with circular fixator by distraction osteotomy: a case of longitudinal epiphyseal bracket.
MedLine Citation:
PMID:  12043988     Owner:  NLM     Status:  MEDLINE    
The condition known as longitudinal epiphyseal bracket or delta phalanx is a rare congenital anomaly that affects the tubular bones of hand or foot. Metatarsal epiphyseal bracket restrains longitudinal growth, causing progressive deformity and resulting in a short, broad metatarsal and a medially deviated metatarsophalangeal joint and hallux magnus. Although there are some case series describing metatarsal lengthening with the unilateral fixator in the literature, we could not find any case that combines both metatarsal lengthening and deformity correction with the circular external fixator. Gradual lengthening and deformity correction without bone grafting and soft-tissue modification were carried out in a case with bilateral longitudinal epiphyseal bracket of the first metatarsals of the foot. A literature review and treatment method for epiphyseal bracket in a 9-year-old boy is presented. Excellent clinical, and functional results were obtained with circular and semicircular fixators.
Metin Kucukkaya; Yavuz Kabukcuoglu; Mehmet Tezer; Unal Kuzgun
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Foot & ankle international     Volume:  23     ISSN:  1071-1007     ISO Abbreviation:  Foot Ankle Int     Publication Date:  2002 May 
Date Detail:
Created Date:  2002-06-04     Completed Date:  2002-07-19     Revised Date:  2014-08-27    
Medline Journal Info:
Nlm Unique ID:  9433869     Medline TA:  Foot Ankle Int     Country:  United States    
Other Details:
Languages:  eng     Pagination:  427-32     Citation Subset:  IM    
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MeSH Terms
Epiphyses / abnormalities
External Fixators*
Foot Deformities, Congenital / surgery*
Ilizarov Technique
Metatarsal Bones / abnormalities,  surgery*
Metatarsophalangeal Joint / surgery
Osteogenesis, Distraction*
Toes / abnormalities*,  surgery

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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