Results of distraction callus osteogenesis in hand and foot in Iran: A 15-year experience.
BACKGROUND
Distraction osteogenesis (DS) is currently an important technique for lengthening shortened bones of the hand and foot. Authors report their experience in applying DS for various conditions of the hand and foot using a distractor that the senior author has designed.


METHODS
Records of patients who underwent DS for hand and foot conditions in a private clinic were retrieved between January 2001 and January 2015. Data concerning distraction, outcome, and complications were recorded.


RESULTS
There were 17 patients, 7 males, and 10 females with a total 24 distractions. The mean length gained was 21.2 mm (1.69) and the mean total treatment time was 198.58 (15.88) days. Overall, complications occurred in 9 (37.5%) distractions. Major complications occurred in 2 (8.33%) of distractions. Minor complications occurred in 7 (29.2%) distractions.


CONCLUSIONS
DS is an effective modality for lengthening bones of the hand and feet for both traumatic and congenital conditions. Joint stiffness/contracture is an important complication following DS of the metatarsals.
Department of Hand and Microscopic Surgery, Fatemeh Hospital, Iran University of Medical Sciences, Tehran, Iran.
Kamal Seyed
KS
Forootan
School of Medicine, California State University, Northridge, USA.
Nazila Seyed
NS
Forootan
Department of Plastic and Reconstructive Surgery, Fatemeh Hospital, Iran University of Medical Sciences, Tehran, Iran.
Amir Hussein
AH
Lebaschi
Brachymetatarsia; congenital anomaly; distraction osteogenesis; foot; hand; trauma