title: [Distraction lengthening in brachymetacarpia. Case report].
abstract: A 16-year-old female patient with a congenital short fourth metacarpal in the right hand was successfully treated by distraction-lengthening. A transverse osteotomy was performed with daily incremental distraction of 0.5 to 1.0 mm, and the distractor device was in place for altogether 12 weeks. The fourth metacarpal was lengthened by 2 cm. The X-ray analysis one year later demonstrated normal skeletal structure. Distraction-lengthening has a number of advantages, when compared with one- or two-stage interposition bone grafting.
authors.affiliation: Chirurgischen Gemeinschaftspraxis Am Wall in Güstrow.
authors.forename: M
authors.initials: M
authors.lastname: Belusa
mesh_terms: D000293:Adolescent; D001852:Bone Lengthening / Q000295:instrumentation / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008663:Metacarpus / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000601:surgery; D010027:Osteotomy / Q000379:methods; D026741:Physical Therapy Modalities; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000534:rehabilitation; D011859:Radiography
vernacular_title: Die Distraktionsverlängerung bei der Brachymetakarpie. Fallbericht.