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KMID : 1130920100140020182
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Journal of Korean Foot and Ankle Society
2010 Volume.14 No. 2 p.182 ~ p.185
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One Stage Metatarsal Lengthening of Brachymetatarsia Involving Both 1st and 4th Metatarsal Bone
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Kim Dong-Hee
Chung Duke-Whan
Han Chung-Soo
Lee Jae-Hoon
Park Jae-Yong
Oh Kyung-Il
Tak Dae-Hyun
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Abstract
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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.
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KEYWORD
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First and fourth metatarsals, Brachymetatarsia, Autograft interposition
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