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양측 제 1,4 단중족증의 자가골을 이용한 일단계 골연장술(1예 보고)

One Stage Metatarsal Lengthening of Brachymetatarsia Involving Both 1st and 4th Metatarsal Bone (A case report)

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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.

Abstract

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.

참고문헌 (12)

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  8. 이영현, "중족골 단축술을 이용한 동통성 족저부 굳은살과 무지 내반증을 동반한 양측 제 1,4 단중족증의 치료(1예 보고)", 대한족부족관절학회지, 13(2), pp.218~222 (2009), 대한족부족관절학회
  9. Choi IH, "Metatarsal lengthening in congenital brachymetatarsia: One- stage lengthening versus lengthening by callotasis", J Pediatr Orthop, 19, pp.660~664 (1999)
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