Lengthening by distraction osteogenesis in congenital shortening of metacarpals

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dc.contributor.authorBulut, Mehmet
dc.contributor.authorUcar, Bekir Yavuz
dc.contributor.authorAzboy, Ibrahim
dc.contributor.authorBelhan, Oktay
dc.contributor.authorYilmaz, Erhan
dc.contributor.authorKarakurt, Lokman
dc.date.accessioned2024-04-24T17:21:18Z
dc.date.available2024-04-24T17:21:18Z
dc.date.issued2013
dc.departmentDicle Üniversitesien_US
dc.description.abstractObjective: The aim of this study was to present the results of seven cases of metacarpal lengthening by distraction osteogenesis and to discuss the ideal daily rate of distraction. Methods: Metacarpal lengthening was performed by distraction osteogenesis in the seven metacarpals of four patients (3 females, 1 male; mean age: 14.9 years). A unilateral external fixator was used for lengthening. Lengthening was initiated with a distraction rate of 2x0.5 mm/day in the patient with bilateral. involvement of the middle and ring metacarpals. On the tenth day of lengthening, distraction was discontinued due to pain and contracture. Then, distraction was continued with a rate of 2x0.25 mm/day. In all other cases, the distraction rate was 0.5 mm/day. Pre- and postoperative range of motion was measured with a goniometer. Patient satisfaction was evaluated with visual analog scale. Results: The mean pre- and postoperative metacarpal lengths were 34.6 pun (range: 33 to 37) and 49.7 mm (range: 47 to 52), respectively. The mean lengthening achieved was 15.1 mm (range: 14 to 17), while the Mean distraction rate was 0.55 mm/day (range: 0.48 to 0.63). No functional loss was observed in the fingers at the final check-up. The patients were happy with the functional and cosmetic results. Conclusion: Distraction osteogenesis is a safe method providing acceptable cosmetic and functional results in patients with congenital metacarpal shortness. The length of metacarpals and muscles that will be affected from lengthening should be considered when determining the daily rate of distraction.en_US
dc.identifier.doi10.3944/AOTT.2013.3080
dc.identifier.endpage85en_US
dc.identifier.issn1017-995X
dc.identifier.issue2en_US
dc.identifier.pmid23619539
dc.identifier.startpage79en_US
dc.identifier.trdizinid158428
dc.identifier.urihttps://doi.org/10.3944/AOTT.2013.3080
dc.identifier.urihttps://search.trdizin.gov.tr/yayin/detay/158428
dc.identifier.urihttps://hdl.handle.net/11468/19436
dc.identifier.volume47en_US
dc.identifier.wosWOS:000319232100003
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakTR-Dizin
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherTurkish Assoc Orthopaedics Traumatologyen_US
dc.relation.ispartofActa Orthopaedica Et Traumatologica Turcica
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectCongenitally Brachymetacarpiaen_US
dc.subjectDistraction Osteogenesisen_US
dc.subjectExternal Fixatoren_US
dc.subjectLengtheningen_US
dc.titleLengthening by distraction osteogenesis in congenital shortening of metacarpalsen_US
dc.titleLengthening by distraction osteogenesis in congenital shortening of metacarpals
dc.typeArticleen_US

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