[Bone lengthening of congenitally short metacarpus and metatarsus by the callus distraction technique]

Acta Orthop Traumatol Turc. 2003;37(2):154-61.
[Article in Turkish]

Abstract

Objectives: We evaluated the results of lengthening of congenitally short metacarpus and metatarsus by the callus distraction technique.

Methods: We treated congenitally short metacarpus (n=7) and metatarsus (n=4) of five patients (4 females, 1 male; mean age 15 years; range 10 to 21 years) by callotasis. Callus distraction was performed with the use of mini-Orthofix or Ilizarov type semicircular external fixators. The distraction rate was 0.25x2 mm/day for both types. The mean follow-up period was 23 months (range 12 to 33 months).

Results: The mean metacarpal and metatarsal lengthenings were 20 mm (range 15 to 25 mm) and 25 mm (range 20 to 30 mm), respectively. The mean healing index was 1.4 months/cm for metacarpal lengthening, and 1.8 months/cm for metatarsal lengthening. No neurovascular complications were encountered. One patient required autogenous fibular grafting for union. Pin tract infections were found in three patients. The overall complication rate was 36%.

Conclusion: Callotasis is an effective and reliable method for lengthening of short metacarpal and metatarsal bones. In addition, it preserves the periosteal bone tissues, which has a favorable effect on the duration of treatment.

Publication types

  • Evaluation Study

MeSH terms

  • Adolescent
  • Adult
  • Bone Lengthening / methods*
  • Bony Callus / surgery
  • Child
  • External Fixators*
  • Female
  • Fingers / abnormalities
  • Fingers / diagnostic imaging
  • Fingers / surgery
  • Humans
  • Ilizarov Technique
  • Male
  • Metacarpus / abnormalities*
  • Metacarpus / diagnostic imaging
  • Metacarpus / surgery*
  • Metatarsus / abnormalities*
  • Metatarsus / diagnostic imaging
  • Metatarsus / surgery*
  • Osteogenesis, Distraction
  • Radiography
  • Toes / abnormalities
  • Toes / diagnostic imaging
  • Toes / surgery
  • Treatment Outcome
  • Turkey