Treatment of Congenital Brachymetatarsia Lengthened by Callotasis
10.4055/jkoa.1995.30.4.1064
- Author:
Chil Soo KWON
;
Byung Hyun JUNG
;
Yong Uck KIM
;
Kyung Seog SHIN
- Publication Type:Original Article
- Keywords:
Congenital brachyemtatarsia;
Metatarsal;
Callotasis
- MeSH:
Adolescent;
Bone Transplantation;
Congenital Abnormalities;
External Fixators;
Female;
Humans;
Joints;
Metatarsal Bones;
Methods;
Osteogenesis, Distraction;
Weight-Bearing
- From:The Journal of the Korean Orthopaedic Association
1995;30(4):1064-1070
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Congenital brachymetatarsia causes minor disability in daily life. However, patients suffer cosmetically or psychologically and often demand correction of the deformity when they reach adolescence. Thirty-eight skeletal lengthenings were performed on twenty-three patients with congenital brachymetatarsia between March 1992 and July 1993. Short metatarsal bones were osteotomized subperiosteally, and held by a small external fixator and then subjected to slow axial distraction. All the patients were female with an average age of patients at the time of operation was twenty-one years. The average lengthenings was 15.8mm. The average healing index was 80.6(day/cm). The average lengthenings percentage was 35.2%. There was a metatarso-phalangeal joint subluxation with pain in one patient. We believe that the callotasis method was no need for bone grafting and permitted early weight bearing. The result was good cosmetically.
