Results of treatment of congenital hypoplasia of metatarsal bones by transosseous osteosynthesis after Ilizarov

Authors

  • Murod Saliev
  • Shaukat Ravshanov
  • Olim Djabborberganov
  • Zafar Kholov
  • Ilkhom Khujanazarov
  • Sanjar Kаdyrоv

DOI:

https://doi.org/10.15674/0030-5987201339-11

Keywords:

brachimetatarsia, external fixation, AOFAS scale

Abstract

Brachymetatarsia is one of podiatric problems, which have been insufficiently covered in medical literature. Surgery is the main method for treating the above pathology. On the basis of the use of distraction technology according to Ilizarov the authors developed a method for lengthening the metatarsals. From 2006 to 2013, 34 female patients (53 feet) with brachymetatarsia were operated on. Long-term results of the treatment were evaluated by the AOFAS scale and achieved 89.2 ± 9.5 points. In all patients their lengthened segment was consolidated. The developed technique of transosseous osteosynthesis for brachymetatarsia made it possible to restore the length of metatarsals and weight-bearing capacity of the anterior foot in 80.6 % of cases. A partial loss of lengthening up to5 mmwithout any essential worsening of results was recorded in 5 patients. Thus, the suggested technique makes it possible to extend and supervise the direction of shortened metatarsals and is effective in treatment of brachymetatarsias.

References

  1. Actual X-ray anatomical parameters of the forefoot / A. A. Kardan, N. V. Zagorodnii, M. Р. Lukin, L. G. Makinyan // Journal of Radiology and radiology. — 2007. — № 3. — Р. 58–64.
  2. X-ray semiotics of congenital abnormalities of the stop / V. I. Shevtsov, G. R. Ismailov, G. V. Djachkov, T. E. Kozmina // Genius orthopedics. — 2000. — № 2. — Р. 38–41.
  3. Baek G. H. The treatment of congenital brachymetatarsia by one-stage lengthening / G. H. Baek, M. S. Chung // J. Bone Joint Surg. — 1998. — Vol. 80-B. — Р. 1040–1044.
  4. Bartolomei F. J. Surgical correction of Brachymetatarsia / F. J. Bartolomei // J. Am. Podiatr. Med. Assoc. — 1990. — Vol. 80 (2). — Р. 76–82.
  5. Complications of distraction osteogenesis in short fourth metatarsals / O. Chang-Wug, S. Rajan, S. Hae-Ryong et al. // J. Pediatr. Orthop. — 2003. — Vol. 23 (4). — Р. 484–487.
  6. The management of brachymetatarsia / H. T. Kim, S. H. Lee, C. I. Yoo et al. // J. Bone Joint Surg. — 2003. — Vol. 85. — Р. 683–690.
  7. How to avoid complications of distraction osteogenesis for first brachymetatarsia / K. B. Lee, H. K. Yang, J. Y. Chung et al. // Acta Orthop. — 2009. — Vol. 80. — Р. 220–225.
  8. Metatarsal lengthening by callotasis during the growth phase / B. Magnan, A. Bragantini, D. Regis, P. Bartolozzi // J. Bone Joint Surg. — 1995. — Vol. 77-B. — Р. 602–607.
  9. Lengthening of short great toes by callus distraction / Y. Takakura, Y. Tanaka, T. Fujii, S. Tamai // J. Bone Joint Surg. — 1997. — Vol. 79-B. — Р. 955–958.
  10. Metatarsal lengthening by callus distraction for brachymetatar¬sia / A. Wada, H. Bensahel, K. Takamura // J. Pediatr. Orthop. Br. — 2004. — Vol. 13. — Р. 206–210.

How to Cite

Saliev, M., Ravshanov, S., Djabborberganov, O., Kholov, Z., Khujanazarov, I., & Kаdyrоv S. (2013). Results of treatment of congenital hypoplasia of metatarsal bones by transosseous osteosynthesis after Ilizarov. ORTHOPAEDICS TRAUMATOLOGY and PROSTHETICS, (3), 9–11. https://doi.org/10.15674/0030-5987201339-11

Issue

Section

ORIGINAL ARTICLES