J Korean Soc Surg Hand.  2017 Jun;22(2):122-126. 10.12790/jkssh.2017.22.2.122.

Multiple Brachymetacarpia Treated by Distraction Osteogenesis

• Bae IT
• Park JK
• Choi SM
• Kim GJ

• KMID: 2383805
• DOI: http://doi.org/10.12790/jkssh.2017.22.2.122

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.

Keyword

Brachydactyly; Hand deformities; Distraction osteogenesis

MeSH Terms

Adolescent
Brachydactyly
Female
Hand Deformities
Humans
Osteogenesis, Distraction*
Transplants

Figure

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  Fig. 1 (A) Preoperative photograph and (B) radiograph show a multiple shortened fingers. The metacarpophalangeal and carpometacarpal joints are not subluxed or dislocated.

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  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.

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  Fig. 3 Radiograph 1 year after surgery show lengthened small finger on the left hand and ring, small finger on the right hand.

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  Fig. 4 A 15-year-old female has full motion of the hand and no angular or rotational deformity.

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