One Stage Metatarsal Lengthening of Brachymetatarsia Involving Both 1st and 4th Metatarsal Bone (A case report)

양측 제 1,4 단중족증의 자가골을 이용한 일단계 골연장술(1예 보고)

  • Kim, Dong-Hee (Department of Orthopedic Surgery, Kyung Hee University College of Medicine) ;
  • Chung, Duke-Whan (Department of Orthopedic Surgery, Kyung Hee University College of Medicine) ;
  • Han, Chung-Soo (Department of Orthopedic Surgery, Kyung Hee University College of Medicine) ;
  • Lee, Jae-Hoon (Department of Orthopedic Surgery, Kyung Hee University College of Medicine) ;
  • Park, Jae-Yong (Department of Orthopedic Surgery, Kyung Hee University College of Medicine) ;
  • Oh, Kyung-Il (Department of Orthopedic Surgery, Kyung Hee University College of Medicine) ;
  • Tak, Dae-Hyun (Department of Orthopedic Surgery, Kyung Hee University College of Medicine)
  • 김동희 (경희대학교 의과대학 정형외과학교실) ;
  • 정덕환 (경희대학교 의과대학 정형외과학교실) ;
  • 한정수 (경희대학교 의과대학 정형외과학교실) ;
  • 이재훈 (경희대학교 의과대학 정형외과학교실) ;
  • 박재용 (경희대학교 의과대학 정형외과학교실) ;
  • 오경일 (경희대학교 의과대학 정형외과학교실) ;
  • 탁대현 (경희대학교 의과대학 정형외과학교실)
  • Received : 2010.08.16
  • Accepted : 2010.11.18
  • Published : 2010.12.15

Abstract

19 years old girl presented with bilateral 1, 4th brachymetatarsia. We have used an autograft interposition technique to lengthen the brachymetatarsia involving first and fourth metatarsal. The technique was to graft the bone fragment from the relatively long second and third metatarsal bone to be used as an autograft to the short first and fourth metatarsal bone. The method is superior in not having the necessity of a long term external fixator which is needed using callotasis method and in also avoiding the inconvenience of performing an allograft. Absence of donor site complication during autograft from iliac bone is also an advantage to be mentioned. Our technique can therefore be ascertained as a successful method in both cosmetic results and improvement of symptoms including reduction in length of recovery.

Keywords

References

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