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1. Kirienko A., Spreafico L.P., De Donato M., Sansone V.
2. Materials & Methods
3. Ilizarov minifixator for short tubular bones
5. A 13-year-old Female With Turner Syndrom And Bilateral Shortening Of The Fourth And Fifth Metatarsal.
7. Results Average length of 17,3 mm (range from 12 to 25 mm)
Equivalent increase of 36% (range 25-46%)
Mean healing index of 61 days/cm
AOFAS average score for lesser toes of 85,3 (range from 53 to 100) and 73 (range from 51 to 93) for hallux.
8. Conclusions This technique of gradual distraction permits:
sufficient precision lengthening for forming the physiological arch of metatarsals heads.
contemporarily correction of deformities without bone grafting and soft tissue spearing.
9. Conclusions
We recommend this method as the way of choice for problem of metatarsal and phalanx shortening.
Bone lengthening is effective in patients not only for aesthetics, but also to relieve pain and callosities on the plantar surface on the 2nd and 3rd MT heads
Prevent secondary deformities of toes nearby.