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Title of Journal: International Orthopaedics SICOT

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Abbravation: International Orthopaedics

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Springer-Verlag

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DOI

10.1007/bf03293530

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1432-5195

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Lengthening of short bones by distraction osteogen

Authors: Mehmet Erdem Cengiz Sen Levent Eralp Mehmet Kocaoğlu Vahit Ozden
Publish Date: 2007/12/19
Volume: 33, Issue: 3, Pages: 807-813
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Abstract

We performed bone lengthening surgery on 12 metacarpals and 14 metatarsals of 15 patients The mean age for metacarpal and metatarsal lengthening was 145 10–21 and 175 10–25 years respectively We used a unilateral or a circular external fixator The mean healing index of the metacarpals and metatarsals was 16 11–23 and 16 10–20 months/cm respectively The mean increase in metacarpal and metatarsal length was 176 13–26 and 243 20–30 mm respectively The functional scores of the metatarsophalangial MTP joint of lengthened metatarsals for the lesser toe were excellent in 12 and good in two cases based on the American Orthopaedic Foot and Ankle Society AOFAS scoring system Complications were seen in six of the metatarsal lengthening cases including four angulations one subluxation and one nonunion We conclude that the periosteum must be protected with percutaneous osteotomy and lengthening should be performed at a rate of 025 mm twice a day and should not exceed 40 of the original bone length or 20 mmNous avons réalisé une chirurgie d’allongement sur 12 métacarpiens et 14 métatarsiens chez 15 patients L’âge moyen était respectivement de 145 ans pour les métacarpiens 10 à 21 et 175 ans pour les métatarsiens 10 à 25 Nous avons utilisé un fixateur unilatéral ou circulaire L’index moyen de consolidation a été de 16 mois/cm d’allongement de 11 à 23 pour les métacarpiens et de 10 à 20 pour les métatarsiens L’allongement moyen a été de 176 mm 13 à 26 pour les métacarpiens et de 23 mm 20 à 30 pour les métatarsiens Le score fonctionnel de l’articulation métatarsophalangienne a été excellent chez 12 patients et bon chez 2 patients score de l’AOFAS Les complications ont été constituées par 4 angulations 1 subluxation et 1 pseudarthrose parmi 6 allongements métatarsiens Nous pouvons conclure que le périoste doit être protégé lors de l’ostéotomie percutanée mais la vitesse d’allongement doit être de 025 mm deux fois par jour L’allongement ne doit pas excéder 40 de la longueur originale de l’os plus de 20 mm

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