단중족증
Brachymetatarsia
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참고문헌
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초록
Brachymetatarsia is a rare congenital deformity which occurs most commonly in the fourth metatarsal. Most common purpose of surgery is to make a normal metatarsal parabola for better external appearance as well as physiological load bearing under the metatarsal heads. Common surgical treatment for brachymetatarsia is lengthening of short metatarsal either by onestage lengthening with intercalary bone graft or gradual lengthening by distraction osteogenesis. Sometimes shortening of long metatarsal is combined with lengthening of the short metatarsal. The function of the foot is diminished due to diverse complication accompanying lengthening of the metatarsal, therefore preoperative consultation about the functional result is essential.
Abstract
Brachymetatarsia is a rare congenital deformity which occurs most commonly in the fourth metatarsal. Most common purpose of surgery is to make a normal metatarsal parabola for better external appearance as well as physiological load bearing under the metatarsal heads. Common surgical treatment for brachymetatarsia is lengthening of short metatarsal either by onestage lengthening with intercalary bone graft or gradual lengthening by distraction osteogenesis. Sometimes shortening of long metatarsal is combined with lengthening of the short metatarsal. The function of the foot is diminished due to diverse complication accompanying lengthening of the metatarsal, therefore preoperative consultation about the functional result is essential.
참고문헌 (9)
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- Kim JS, "A one-stage combined shortening and lengthening procedure without iliac bone graft", J Bone Joint Surg Br, 86, pp.1013~1015 (2004)
- Choi IH, "Metatarsal lengthening in congenital brachymetatarsia : onestage lengthening versus lengthening by callotasis", J Pediatr Orthop, 19, pp.660~664 (1999)
- Baek GH, "The treatment of congenital brachymetatarsia by one-stage lengthening", J Bone Joint Surg Br, 80, pp.1040~1044 (1998)
- Kim HT, "The management of brachymetatarsia", J Bone Joint Surg Br, 85, pp.683~690 (2003)
- Lee KB, "Comparison of the outcomes of distraction osteogenesis for first and fourth brachymetatarsia", J Bone Joint Surg Am, 92, pp.2709~2718 (2010)
- Lee WC, "Lengthening of fourth brachymetatarsia by three different surgical techniques", J Bone Joint Surg Br, 91, pp.1472~1477 (2009)
- Masada K, "Complications following metatarsal lengthening by callus distraction for brachymetatarsia", J Pediatr Orthop, 19, pp.394~397 (1999)
- Shim JS, "Treatment of brachymetatarsia by distraction osteogenesis", J Pediatr Orthop, 26, pp.250~254 (2006)