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

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

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.

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.

jkoa-54-457-g001
Figure 2

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

jkoa-54-457-g002
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.

jkoa-54-457-g003
Figure 4

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

jkoa-54-457-g004

Notes

CONFLICTS OF INTEREST The authors have nothing to disclose.

References

1. Wolfe SW, Pederson WC, Hotchkiss RN, Kozin SH, Cohen MS. Green's operative hand surgery. 7th ed. Philadelphia: Elsevier;2016. p. 1238–1243.
2. Bozan ME, Altinel L, Kuru I, Maralcan G, Acar M, Durmaz H. Factors that affect the healing index of metacarpal lengthening: a retrospective study. J Orthop Surg (Hong Kong). 2006; 14:167–171.
3. Kempton SJ, McCarthy JE, Afifi AM. A systematic review of distraction osteogenesis in hand surgery: what are the benefits, complication rates, and duration of treatment. Plast Reconstr Surg. 2014; 133:1120–1130.
4. Aydinlioglu A, Akpinar F, Tosun N. Mathematical relations between the lengths of the metacarpal bones and phalanges: surgical significance. Tohoku J Exp Med. 1998; 185:209–216.
5. Fultz CW, Lester DK, Hunter JM. Single stage lengthening by intercalary bone graft in patients with congenital hand deformities. J Hand Surg Br. 1986; 11:40–46.
6. Kato H, Minami A, Suenaga N, Iwasaki M, Kimura T. Callotasis lengthening in patients with brachymetacarpia. J Pediatr Orthop. 2002; 22:497–500.
7. Oh CW, Song HR, Kim JW, Choi JW, Min WK, Park BC. Limb lengthening with a submuscular locking plate. J Bone Joint Surg Br. 2009; 91:1394–1399.
8. Oh CW, Baek SG, Kim JW, Kim JW. Tibial lengthening with a submuscular plate in adolescents. J Orthop Sci. 2015; 20:101–109.
9. Shin HS, Kim HK, Ha SH, Yu SO, Lee GJ. Dual miniplate fixation for the comminuted fractures of the hand. J Korean Soc Surg Hand. 2011; 16:78–84.
10. Stoffel K, Dieter U, Stachowiak G, Gächter A, Kuster MS. Biomechanical testing of the LCP: how can stability in locked internal fixators be controlled. Injury. 2003; 34 Suppl 2:B11–B19.
TOOLS
ORCID iDs

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

Similar articles