Arata Jun, Morimoto Naoki, Soeda Haruo, Kometani Azumi, Abe Sawako, Suzuki Shigehiko
Department of Plastic and Reconstructive Surgery, Kyoto Medical Center Hospital, Kyoto, Japan.
Ann Plast Surg. 2011 Sep;67(3):232-4. doi: 10.1097/SAP.0b013e3181f77a9b.
Gradual lengthening by distraction osteogenesis is widely used for brachydactyly. The most frequent postoperative complaint of the patients treated with this method is the appearance of the scar caused by the skin incision for the osteotomy, which is an integral technique of distraction osteogenesis. A nonincisional approach to osteotomy would reduce the dorsal scarring. Gradual lengthening by callus distraction with nonincisional osteotomy was performed in 14 digits. The mean gain in length was 14.3 mm (10-19 mm). Of 14 digits, 13 digits achieved the target length and sufficient bone consolidation and 1 digit showed early consolidation. There was no case in which complications occurred because of the drilling. Nonincisional osteotomy for callus distraction in the hand and foot reduced dorsal longitudinal scarring and achieved good cosmetic results as compared with an ordinary osteotomy involving skin incision.
通过牵张成骨进行逐渐延长广泛应用于短指畸形。采用这种方法治疗的患者术后最常见的主诉是截骨术皮肤切口导致的瘢痕出现，这是牵张成骨的一项不可或缺的技术。非切开式截骨术将减少背部瘢痕形成。对14个手指进行了非切开式截骨术的骨痂牵张逐渐延长。长度平均增加14.3毫米（10 - 19毫米）。14个手指中，13个手指达到了目标长度并实现了充分的骨愈合，1个手指出现了早期愈合。没有因钻孔而发生并发症的病例。与涉及皮肤切口的普通截骨术相比，手足部骨痂牵张的非切开式截骨术减少了背部纵向瘢痕形成，并取得了良好的美容效果。
