一期延长与渐进性延长治疗先天性跖骨短小症的疗效比较

Abstract
Figure/Table
References (0)
Related Citation (12)

Download: PDF (3856 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To compare the effect between one-stage metatarsal lengthening and gradual metatarsal lengthening for congenital brachymetatarsia.Methods From March 1997 to January 2021 33 patients with 4th congenital brachymetatarsia were treated in the 910th hospital of PLA.There were 2 males and 32 females，and the average age was (30.06±6.94) years.All patients were divided into 2 groups：13 patients in one-stage lengthening group were treated with one-stage metatarsal lengthening and 20 patients in gradual lengthening group with gradual metatarsal lengthening with external fixators.Information about metatarsal lengthening，index of bone healing，AOFAS，time of internal fixation and time of full load，level of satisfaction and comfort，and complications were recorded.
Results All patients were followed up for (19.83±4.50) months.Metatarsal short length，metatarsal lengthening length，ratio of 4th and 2nd metatarsal length and toe short length in gradual lengthening group were superior than onestage lengthening group (P＜0.01)，but it was equal in 2 groups about index of bone healing (P＞0.05).There were no significant difference between 2 groups about time of internal fixation，time of full load，AOFAS and level of comfort (P＞0.05)，but level of satisfaction in gradual lengthening group was superior than one-stage lengthening group (P＜0.01).There were no significant difference between 2 group about delayed bone union，stiffness of the interphalangeal joint，metatarsophalangeal joint pain and pin infection (P＞0.05).Conclusion One-stage metatarsal lengthening only can be used to the mild congenital brachymetatarsia，but gradual metatarsal lengthening with external fixator can be used to all kind of congenital brachymetatarsia，especially for severe petients.The postoperative effect and complications of 2 surgical methods are similar，but patients are more satisfied with gradual metatarsal lengthening.

Key words： congenital brachymetatarsia one-stage metatarsal lengthening gradual metatarsal lengthening external fixator

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	Su Huiqiang
	Wang Jiangbo
	Zhang Yong
	Zhou Bo

Cite this article:

Su Huiqiang,Wang Jiangbo,Zhang Yong, et al. Comparison of Effect between One-Stage Metatarsal Lengthening and Gradual Metatarsal Lengthening for Congenital Brachymetatarsia[J]. sygkzz, 2023, 29(2): 116-.

URL:

http://www.sygkzz.com/EN/ OR http://www.sygkzz.com/EN/Y2023/V29/I2/116

［1］Schimizzi A，Brage M.Brachymetatarsia［J］.Foot Ankle Clin，2004，9(3)：555-570.
［2］Barik S，Farr S.Brachymetacarpia and brachymetatarsia：do we need to operate?［J］.EFORT Open Rev，2021，6(1)：15-23.
［3］Fusini F，Alessandro M，Rava A，et al.Aetiology，diagnosis，and treatment of brachymetatarsia：A narrative review［J］.Musculoskelet Surg，2022，106(2)：99-109.
［4］Machado FA，Costa GFO，Faria AADS，et al.Treatment of brachymetatarsia by distraction osteogenesis using monolateral external fixator［J］.Rev Bras Ortop (Sao Paulo)，2021，57(1)：75-81.
［5］Shecaira AP，Fernandes RMP.Brachymetatarsia：One-stage versus two-stage procedures［J］.Foot Ankle Clin，2019，24(4)：677-687.
［6］Pe-a-Martínez VM，Palacios-Barajas D，Blanco-Rivera JC，et al.Results of external fixation and metatarsophalangeal joint fixation with KWire in brachymetatarsia［J］.Foot Ankle Int，2018，39(8)：942-948.
［7］Lliou K，Paraskevas G，Kanavaros P，et al.Correlation between manchester grading scale and american orthopaedic foot and ankle society score in patients with hallux valgus［J］.Med Princ Pract，2016，25(1)：21-24.
［8］Smolle E，Scheipl S，Leithner A，et al.Management of congenital fourth brachymetatarsia by additive autologous lengthening osteotomy (AALO)：A case series［J］.Foot Ankle Int，2015，36(3)：325-329.
［9］Giannini S，Faldini C，Pagkrati S，et al.One-stage metatarsal lengthening by allograft interposition：A novel approach for congenital brachymetatarsia［J］.Clin Orthop Relat Res，2010，468(7)：1933-1942.
［10］Fuiano M，Mosca M，Caravelli S，et al.Callus distraction with external fixator for the treatment of congenital brachymetatarsia of the fourth ray［J］.Foot Ankle Surg，2020，26(6)：693-698.
［11］Zhu D，Fernandez A，Galois L，et al.Brachymetatarsia：Surgical management，case report，and literature review［J］.Case Rep Orthop，2022，5(10)：249-254.
［12］Waizy H，Polzer H，Schikora N，et al.One-stage metatarsal interposition lengthening with an autologous fibula graft for treatment of brachymetatarsia［J］.Foot Ankle Spec，2019，12(4)：330-335.
［13］Hosny GA，Ahmed AS.Distraction osteogenesis of fourth brachymetatarsia［J］.Foot Ankle Surg，2016，22(1)：12-16.
［14］Menshchikova TI，Neretin AS.Evaluation of reparative osteogenesis of distraction regenerate of the fourth metatarsal bone in patients with brachymetatarsia［J］.Khirurgiia (Mosk)，2016，(12)：61-65.
［15］Toporowski G，Thiesen R，Gosheger G，et al.Callus distraction for brachymetatarsia：A comparison between an internal device and the external fixator［J］.Foot Ankle Surg，2022，8(22)：76-80.
［16］Woo SH，Bang CY，Ahn HC，et al.Anatomical reconstruction of the fourth brachymetatarsia with onestage iliac bone and cartilage cap grafting［J］.J Plast Reconstr Aesthet Surg，2017，70(5)：666-672.
［17］Klauser HO.The surgical treatment of brachymetatarsia［J］.Foot Ankle Clin，2021，26(4)：685-704.
［18］Hamada M，Sakamoto Y，Nagasao T，et al.Treatment of complications after distraction osteogenesis for brachymetatarsia of the fourth metatarsal［J］.Plast Reconstr Surg Glob Open，2016，4(7)：e817-e820.
［19］Kim HS，Lee YS，Jung JH，et al.Complications of distraction osteogenesis in brachymetatarsia：Comparison between the first and fourth brachymetatarsia［J］.Foot Ankle Surg，2019，25(2)：113-118.