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KMID : 0896720020060010073
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Journal of the Korean Society of Foot Surgery
2002 Volume.6 No. 1 p.73 ~ p.79
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Treatment for Brachymetatarsia by Callotasis
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Park Yong-Wook
Yoon Jung-Han
Park Hong-Jun
Cho Yang-Bum
Yu Sun-O
Kim Wan-Hong
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Abstract
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Purpose:To evaluate the effectiveness of callotasis using the external fixator for the treatment of brachymetatarsia.
Materials and Methods:Eleven patients(15 cases) who underwent callotasis were available. Follow-up averaged 23 months(15-38 months). Both the patients’ postoperative satisfaction and the postoperative radiographic results were retrospectively evaluated.
Results:The duration from applying the external fixator to remove averaged 15 weeks (8-21 weeks). We did osteotomy again in two cases because of early consolidation at the osteotomy site during distraction period. All cases were evaluated mild claw toe deformity and motional pain in metatarsophalangeal joint, but all patients satisfied the postoperative results except one complained motional pain and stiffness in metatarsophalangeal joint. The metatarsal shortening averaged 13mm(9-18mm) before operation. The amount of distraction for shortened metatarsals averaged 15mm(5-22mm). We found the 6 cases of narrowing of the metatarsophalangeal joint, 2 cases of subluxation of the metatarsophalangeal joint.
Conclusions:We think that callotasis with external fixator is good operative method for the brachymetatarsia.
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KEYWORD
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brachymetatarsia, callotasis
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