title: [Lengthening of the IV metatarsal in the treatment of the shortened toe of the foot].
abstract: The author presents the results of surgical treatment of congenital shortening of the IV metatarsal in 3 girls. In 2 cases the defect was bilateral. A total of 5 feet were operated on the age of the patients at time of operation ranged from 10 years and 1 months to 16 years and 11 months. A one-stage procedure with the use of a Pumed mini-distraction device was performed. The fissure between the bone fragments was augmented with a bone graft from the fibula. It was harvested in such a way as to maintain internal cortical integrity. K-wire fixation of the bony fragments was applied for 7 weeks. Immobilization by means of a plaster cast was applied for 6 to 8 weeks. Follow-up ranged from 7 months to 3 years. In all cases an improvement of the finger shape and it's lengthening was noted, although in 2 cases lengthening wasn't complete. In one case it resulted from an axial deformity of the IV metatarsal, a sequel of early (5 weeks) removal of the K-wire.
authors.affiliation: Katedra i Klinika Ortopedii Dzieciecej, Akademia Medyczna im. K. Marcinkowskiego w Poznaniu.
authors.forename: M
authors.initials: M
authors.lastname: Napiontek
mesh_terms: D000293:Adolescent; D001852:Bone Lengthening / Q000379:methods*; D002648:Child; D005260:Female; D005500:Follow-Up Studies; D006214:Hallux / Q000002:abnormalities* / Q000601:surgery*; D006801:Humans; D008297:Male; D008682:Metatarsal Bones / Q000601:surgery*
vernacular_title: Wydłuzenie IV kości śródstopia w skróceniu palca stopy.