Journal List > J Korean Orthop Assoc > v.54(5) > 1136198

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Jegal, Kim, Ha, and Lee: Distraction Osteogenesis Combined with a Plate to Treat Brachymetacarpia
Case Report

Journal of the Korean Orthopaedic Association 2019; 54(5): 457-462.

Published online: 30 October 2019

DOI: https://doi.org/10.4055/jkoa.2019.54.5.457

Distraction Osteogenesis Combined with a Plate to Treat Brachymetacarpia

Midum Jegal, M.D., Hyo Kon Kim, M.D., Sung Han Ha, M.D., Gi Jun Lee, M.D.

Department of Orthopaedic Surgery, MS Jaegeon Hospital, Daegu, Korea.

Correspondence to: Gi Jun Lee, M.D. Department of Orthopaedic Surgery, MS Jaegeon Hospital, 194 Dongdeok-ro, Jung-gu, Daegu 41905, Korea. TEL: +82-53-653-0119, FAX: +82-53-653-0770, leegjosmd@daum.net

Current affiliation:

Midum Jegal's current affiliation: Faith Orthopedic Surgery, Deagu, Korea.

Received 5 October 2018       Revised 16 November 2018       Accepted 15 December 2018

Copyright © 2019 by The Korean Orthopaedic Association

The Korean Orthopaedic Association

(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/4.0/) 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 conventional distraction osteogenesis requires holding an external fixator following distraction for stability, which causes prolonged discomfort that adversely affects the patient's daily activities. This paper reports a case of a 20-year-old male of brachymetacarpia treated with distraction osteogenesis combined with a plate reducing the period of an external fixator, allowing rapid return to the daily activities, and presenting good clinical results.

Keywords: brachymetacarpia, distraction osteogenesis, external fixators, plate

Figures and Tables

Figure 1

A 20-year-old male with a brachymetacarpia of the left 3rd and right 4th fingers. (A, B) Preoperative photographs during extension and flexion, (C) preoperative radiograph.

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Figure 2

The external fixator and plate was prepared (A), and installed directly on the metacarpal bone (B).

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Figure 3

(A) Postoperative radiograph, (B) callotasis at postoperative 4 weeks. (C) At postoperative 7 weeks, callus formation was visible. (D, E) The proximal screws were inserted and the external fixator was removed at the same time. (F) At 12 weeks, slight bowing was observed in the metacarpal bone.

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Figure 4

(A, B) Postoperative radiograph and photograph 1 year after the initial surgery.

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Notes

CONFLICTS OF INTEREST The authors have nothing to disclose.

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ORCID iDs

Gi Jun Lee
https://orcid.org/0000-0002-0135-3508

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