| Titre : | The Surgical Treatment of Brachymetatarsia : Foot Ankle Deformity in the Child (2021) |
| Auteurs : | Hubert O. Klauser |
| Type de document : | Article |
| Dans : | Foot and Ankle Clinics (Vol. 26, n° 4, December 2021) |
| Article en page(s) : | p. 685-704 |
| Note générale : | https://doi.org/10.1016/j.fcl.2021.07.003 |
| Langues: | Anglais |
| Descripteurs : |
HE Vinci Anomalies morphologiques congénitales du pied ; Fixateurs externes ; Mise en charge ; Os du métatarse ; Ostéogenèse par distraction ; Osteotomie |
| Résumé : |
•There are 3 operative procedures for the correction of brachymetatarsia.
•The correction of short longitudinal bone defects of a metatarsal bone up to 10 mm can be performed by lengthening osteotomy or interposition of autologous or allogenic bone graft with various surgical techniques. •The correction of longitudinal bone defects more than 10 mm is ideally performed through distraction osteogenesis using an external fixator or internal titanium minifixator. •Callus distraction with an internal fixator facilitates length compensation more than 20 mm and results in far fewer complications within 1 year. Postoperative treatment is way more comfortable with early full weight-bearing. •The internal fixator is suitable for callus distraction of all metatarsal bones and, if necessary, for simultaneous correction of up to 3 metatarsal bones. |
| Disponible en ligne : | Oui |
| En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S1083751521000838 |
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