Document Detail


Multiple congenital brachymetatarsia. A one-stage combined shortening and lengthening procedure without iliac bone graft.
MedLine Citation:
PMID:  15446529     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We performed nine metatarsal and three proximal phalangeal lengthenings in five patients with congenital brachymetatarsia of the first and one or two other metatarsal bones, by a one-stage combined shortening and lengthening procedure using intercalcary autogenous bone grafts from adjacent shortened metatarsal bones. Instead of the isolated lengthening of the first and the other metatarsal bones, we shortened the adjacent normal metatarsal and used the excised bone to lengthen the short toes, except for the great toe, to restore the normal parabola. One skin incision was used. All the operations were performed bilaterally and the patients were followed up for a mean period of 69.5 months (29 to 107). They all regained a nearly normal parabola and were satisfied with the cosmetic results. Our technique is straightforward and produces good cosmetic results. Satisfactory, bony union is achieved, morbidity is low, and no additional surgery is required for the removal of metal implants.
Authors:
J S Kim; G H Baek; M S Chung; P W Yoon
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of bone and joint surgery. British volume     Volume:  86     ISSN:  0301-620X     ISO Abbreviation:  J Bone Joint Surg Br     Publication Date:  2004 Sep 
Date Detail:
Created Date:  2004-09-27     Completed Date:  2004-10-05     Revised Date:  2010-11-10    
Medline Journal Info:
Nlm Unique ID:  0375355     Medline TA:  J Bone Joint Surg Br     Country:  England    
Other Details:
Languages:  eng     Pagination:  1013-5     Citation Subset:  AIM; IM    
Affiliation:
Department of Orthopaedic Surgery, Seoul National University College of Medicine, 28 Yongon-Dong, Chongro-Gu, Seoul 110-744, Korea.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Bone Lengthening / methods*
Child
Esthetics
Female
Humans
Metatarsal Bones / abnormalities*,  radiography,  surgery*
Osteotomy / methods
Patient Satisfaction

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


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