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KMID : 0361619950300041064
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Journal of the Korean Orthopaedic Association
1995 Volume.30 No. 4 p.1064 ~ p.1070
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Treatment of Congenital Brachymetatarsia Lengthened by Callotasis
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Abstract
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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 lengthening 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 paients
were
female with an average age of patients at the time of operation was twenty-one years. 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.
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