{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,15]],"date-time":"2026-08-15T08:34:06Z","timestamp":1786782846734,"version":"build-2736575974"},"reference-count":11,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2016,9,28]],"date-time":"2016-09-28T00:00:00Z","timestamp":1475020800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Hand Surg Eur Vol"],"published-print":{"date-parts":[[2017,1]]},"abstract":"<jats:p>Metacarpal lengthening is a useful procedure to address hand deficiencies in children. In this study, we aimed to compare the results of three different techniques from one consecutive clinical series of hand deficiencies. A total of 15 metacarpal lengthenings have been performed in 12 children aged from 9 to 14\u2009years. The callotasis technique was used in seven cases, the two-stage distraction-graft technique in four cases and the single-stage lengthening in four cases. All the metacarpals healed with bone. The lengthening obtained was a mean of 13\u2009mm (range 8\u201321\u2009mm), a mean of 22\u2009mm (range 13\u201332\u2009mm) and a mean of 12\u2009mm (range 9\u201315\u2009mm), respectively, in the three different techniques. The healing index was longer for callotasis (81\u2009days\/cm) compared with the other techniques (41\u2009days\/cm and 46\u2009days\/cm, respectively). We observed one case of fracture after callotasis and one after distraction-graft. One patient underwent tenolysis of the extensor mechanism after single-stage lengthening. In conclusion, distraction graft and single-stage lengthening may be valuable alternatives to callotasis.<\/jats:p>\n                  <jats:p>Level of evidence: IV; therapeutic study; multi-case series<\/jats:p>","DOI":"10.1177\/1753193416669317","type":"journal-article","created":{"date-parts":[[2016,9,22]],"date-time":"2016-09-22T20:48:57Z","timestamp":1474577337000},"page":"51-56","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["Metacarpal lengthening in children: comparison of three different techniques in 15 consecutive cases"],"prefix":"10.1177","volume":"42","author":[{"given":"C.","family":"Dana","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Paediatrics, Necker-Enfants-Malades Hospital, Paris, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.-C.","family":"Aur\u00e9gan","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Paediatrics, Necker-Enfants-Malades Hospital, Paris, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Salon","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Paediatrics, Necker-Enfants-Malades Hospital, Paris, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"Gu\u00e9ro","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Paediatrics, Necker-Enfants-Malades Hospital, Paris, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C.","family":"Glorion","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Paediatrics, Necker-Enfants-Malades Hospital, Paris, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"Pannier","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Paediatrics, Necker-Enfants-Malades Hospital, Paris, France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2016,9,28]]},"reference":[{"key":"bibr1-1753193416669317","first-page":"47","volume":"19","author":"Cobb TK","year":"1990","journal-title":"Orthop Review"},{"key":"bibr2-1753193416669317","doi-asserted-by":"publisher","DOI":"10.1053\/jhsu.2001.24147"},{"key":"bibr3-1753193416669317","first-page":"451","volume":"87","author":"Foucher G","year":"2001","journal-title":"Revue De Chirurgie Orthop\u00e9dique Et R\u00e9paratrice De L\u2019appareil Moteur"},{"key":"bibr4-1753193416669317","doi-asserted-by":"publisher","DOI":"10.1016\/0266-7681_86_90009-4"},{"key":"bibr5-1753193416669317","doi-asserted-by":"publisher","DOI":"10.1016\/S0266-7681(98)80097-1"},{"key":"bibr6-1753193416669317","doi-asserted-by":"publisher","DOI":"10.1054\/jhsb.2000.0478"},{"key":"bibr7-1753193416669317","doi-asserted-by":"publisher","DOI":"10.1097\/01241398-200207000-00015"},{"key":"bibr8-1753193416669317","doi-asserted-by":"publisher","DOI":"10.1016\/S0363-5023(80)80080-3"},{"key":"bibr9-1753193416669317","doi-asserted-by":"publisher","DOI":"10.1016\/0266-7681(94)90063-9"},{"key":"bibr10-1753193416669317","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-199807000-00014"},{"key":"bibr11-1753193416669317","doi-asserted-by":"publisher","DOI":"10.1016\/S0266-7681(98)80096-X"}],"container-title":["Journal of Hand Surgery (European Volume)"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1753193416669317","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1753193416669317","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1753193416669317","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T22:47:41Z","timestamp":1777502861000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1753193416669317"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,9,28]]},"references-count":11,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2017,1]]}},"alternative-id":["10.1177\/1753193416669317"],"URL":"https:\/\/doi.org\/10.1177\/1753193416669317","relation":{},"ISSN":["1753-1934","2043-6289"],"issn-type":[{"value":"1753-1934","type":"print"},{"value":"2043-6289","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,9,28]]}}}