Abstract
BackgroundDistraction osteogenesis is frequently used for brachymetatarsia. MethodsBrachymetatarsia of the fourth ray was treated with the Ilizarov method in 10 females. Distraction rate was 1.00−0.75mm a day. Radiography and ultrasonography were used to study the regeneration course throughout the distraction and fixation phases. ResultsMean lengthening achieved was 2.28cm in the average distraction period of 30.2 days and average fixation phase of 50.2 days. Ultrasonography detected the regeneration signs and zonal structure of the regenerate earlier than radiography. It confirmed slow regeneration in two patients and their distraction rate was corrected. One patient had premature consolidation on distraction day 10 and needed re-osteotomy. ConclusionsCombination of radiography and ultrasonography to study bone regeneration in brachymetatarsisa provides a better monitoring of distraction callus progression. Ultrasonography is of great value to detect regeneration problems during early stages of lengthening.
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