Operative Treatment for Brachymetatarsia.
10.4055/jkoa.2002.37.2.256
- Author:
Hui Taek KIM
1
;
Sang Hyun LEE
;
Jeong Han KANG
;
Chong Il YOO
Author Information
1. Department of Orthopaedic Surgery, College of Medicine Pusan National University, Busan, Korea. kimht@hyowon.cc.pusan.ac.kr
- Publication Type:Original Article
- Keywords:
Brachymetatarsia
- MeSH:
Humans;
Metatarsal Bones;
Osteogenesis, Distraction
- From:The Journal of the Korean Orthopaedic Association
2002;37(2):256-262
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To evaluate the importance of various surgical techniques in the treatment of brachymetatarsia. MATERIALS AND METHODS: 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.
