Multiple Brachymetacarpia Treated by Distraction Osteogenesis

In-Tak Bae; Ji-Kang Park; Seung-Myung Choi; Gook-Jong Kim

doi:10.12790/jkssh.2017.22.2.122

Journal List > J Korean Soc Surg Hand > v.22(2) > 1106560

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Bae, Park, Choi, and Kim: Multiple Brachymetacarpia Treated by Distraction Osteogenesis

Case Report

Journal of the Korean Society for Surgery of the Hand 2017; 22(2): 122-126.

Published online: 22 June 2017

DOI: https://doi.org/10.12790/jkssh.2017.22.2.122

Multiple Brachymetacarpia Treated by Distraction Osteogenesis

In-Tak Bae¹, Ji-Kang Park², Seung-Myung Choi², Gook-Jong Kim²

¹Department of Orthopaedic Surgery, Anyang SAM Hospital, Anyang, Korea.

²Department of Orthopaedic Surgery, Chungbuk National University Hospital, Cheongju, Korea.

Correspondence to: Ji-Kang Park. Department of Orthopaedic Surgery, Chungbuk National University Hospital, 776 1(il)sunhwan-ro, Heungdeok-gu, Cheongju 28644, Korea. TEL: +82-43-269-6077, FAX: +82-43-274-8719, carm0916@hanmail.net

Received 16 January 2017 Revised 4 April 2017 Accepted 17 April 2017

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

The treatment of a brachymetacarpia using a distraction osteogenesis was mostly single, unilateral pattern. In case of multiple brachymetacarpia, single-stage lengthening or rapid distraction lengthening with a bone graft were usually used. Multiple brachymetacarpia treated by distraction osteogenesis is rarely reported. We report a case of a 15-year-old female presented with bilateral multiple brachymetacarpia treated by distraction osteogenesis simultaneously without complications. Also, we have evaluated the clinical results and factors which influence the clinical results.

Keywords: Brachydactyly, Hand deformities, Distraction osteogenesis

Figures and Tables

Fig. 1

(A) Preoperative photograph and (B) radiograph show a multiple shortened fingers. The metacarpophalangeal and carpometacarpal joints are not subluxed or dislocated.

Fig. 2

Radiographs show (A) osteotomy through the diaphysis using a unilateral fixator, (B) callotasis after 2 weeks, (C) callotasis after 4 weeks, and (D) good callus filling the distraction gap 14 weeks after callotasis.

Fig. 3

Radiograph 1 year after surgery show lengthened small finger on the left hand and ring, small finger on the right hand.

Fig. 4

A 15-year-old female has full motion of the hand and no angular or rotational deformity.

Notes

^{CONFLICT OF INTEREST} No potential conflict of interest relevant to this article was reported.

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