Complications of distraction osteogenesis in brachymetatarsia: Comparison between the first and fourth brachymetatarsia. Issue 2 (April 2019)

• Record Type: Journal Article
• Authors: Kim, Hyun Se; Lee, Young Seok; Jung, Jae Hoon; Shim, Jong Sup
• Is Part Of: Foot and ankle surgery. Volume 25:Issue 2(2019)
• Page Start: 113
• Page End: 118
• Publication Date: 2019-04
• Subjects: Brachymetatarsia -- Distraction osteogenesis -- Complication; Foot -- Surgery -- Periodicals; Ankle -- Surgery -- Periodicals; Ankle -- surgery -- Periodicals; Foot -- surgery -- Periodicals; Ankle -- Surgery; Foot -- Surgery; Periodicals; Electronic journals; 617.58
• DOI: 10.1016/j.fas.2017.09.004
• Languages: English
• ISSNs: 1268-7731

Abstract

Highlights: Distraction osteogenesis has been widely used to treat brachymetatarsia. The complication during distraction osteogensis is various and different according to the metatarsal. However, few reports have compared the complications of the first and fourth brachymetatarsia by distraction osteogenesis. We designed retrospective study with radiolographic assessment and chart review. According to our study, the complications were different and frequently occurred when the length gain was more than 41.3%. Abstract: BackgroundRecently, distraction osteogenesis has been widely used to treat brachymetatarsia. However, few papers have compared complications associated with this treatment. The purpose of the present study was to compare the complications between the first and fourth brachymetatarsia treated by distraction osteogenesis. MethodsWe performed distraction osteogenesis to 83 metatarsals in 41 patients between 1999 and 2012. A total of 30 metatarsals received treatment for the first metatarsal (Group A) while 53 metatarsals received treatment with the fourth metatarsal (Group B). ResultsThe complication rate in Group A (40%) was higher than that in Group B (18.9%). Those who had high percentage of lengthening gain were more likely to have complications. A cut-off value for lengthening gain developing complication was 41.3%. ConclusionComplication incidence after distraction osteogenesis was increased when lengthening gain was more than 41.3% for brachymetatarsia. In the 1st metatarsal lengthening, the most common complication was stiffness. In contrast, complications of the 4th metatarsal lengthening were pin-track infection and angular deformity.