{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T02:17:48Z","timestamp":1787019468277,"version":"build-2736575974"},"reference-count":16,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2006,8,1]],"date-time":"2006-08-01T00:00:00Z","timestamp":1154390400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"},{"start":{"date-parts":[[2006,8,1]],"date-time":"2006-08-01T00:00:00Z","timestamp":1154390400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Orthop Surg (Hong Kong)"],"published-print":{"date-parts":[[2006,8]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose.<\/jats:title>\n                    <jats:p>To determine factors that affect healing index and consolidation time following lengthening of congenitally short metacarpals (brachymetacarpia).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods.<\/jats:title>\n                    <jats:p>18 metacarpals of 8 young women (mean age, 18.6 years) were lengthened using the callus distraction technique. The results, including healing index and consolidation time, were analysed and compared with those in the literature.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results.<\/jats:title>\n                    <jats:p>The mean length increase was 16.5 mm (55% of the original length of 30 mm). Age was positively correlated with healing index and consolidation time: younger patients healed faster than older patients. Healing index differed significantly between patients aged 0 to 18 years and those aged 19 to 30 years (p=0.002). Comparison of our results with 9 previous studies confirmed that increased age was associated with a greater healing index and consolidation time. Conversely, the faster the distraction rate, the less the healing index and consolidation time.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion.<\/jats:title>\n                    <jats:p>Age has the most effect on healing index and consolidation time. Metacarpal lengthening using callus distraction is recommended. Adolescence is the most appropriate time to perform distraction lengthening of a congenitally short metacarpal. This will avoid additional lengthening of normal metacarpals prior to epiphyseal closure.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/230949900601400212","type":"journal-article","created":{"date-parts":[[2016,10,4]],"date-time":"2016-10-04T17:14:58Z","timestamp":1475601298000},"page":"167-171","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":24,"title":["Factors That Affect the Healing Index of Metacarpal Lengthening: A Retrospective Study"],"prefix":"10.1177","volume":"14","author":[{"given":"ME","family":"Bozan","sequence":"first","affiliation":[{"name":"Department of Orthopaedics, Medical School of Afyon Kocatepe University, Afyon, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L","family":"Altinel","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Medical School of Afyon Kocatepe University, Afyon, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"I","family":"Kuru","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Medical School of Afyon Kocatepe University, Afyon, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G","family":"Maralcan","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Medical School of Afyon Kocatepe University, Afyon, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M","family":"Acar","sequence":"additional","affiliation":[{"name":"Department of Radiology, Medical School of Afyon Kocatepe University, Afyon, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H","family":"Durmaz","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Medical School of Istanbul University, Istanbul, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2006,8,1]]},"reference":[{"key":"bibr1-230949900601400212","doi-asserted-by":"publisher","DOI":"10.1097\/01241398-200207000-00015"},{"key":"bibr2-230949900601400212","doi-asserted-by":"publisher","DOI":"10.1016\/S0363-5023(80)80080-3"},{"key":"bibr3-230949900601400212","doi-asserted-by":"publisher","DOI":"10.1053\/jhsu.2001.24147"},{"key":"bibr4-230949900601400212","doi-asserted-by":"publisher","DOI":"10.1054\/jhsb.2000.0478"},{"key":"bibr5-230949900601400212","first-page":"298","volume":"26","author":"Belusa M","year":"1994","journal-title":"Handchir Mikrochir Plast Chir"},{"key":"bibr6-230949900601400212","first-page":"242","volume":"67","author":"Arslan H","year":"2001","journal-title":"Acta Orthop Belg"},{"key":"bibr7-230949900601400212","doi-asserted-by":"publisher","DOI":"10.1016\/0266-7681(94)90063-9"},{"key":"bibr8-230949900601400212","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-199807000-00014"},{"key":"bibr9-230949900601400212","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.84B2.12131"},{"key":"bibr10-230949900601400212","first-page":"390","volume-title":"Green's operative hand surgery","author":"Wood VE","year":"1999"},{"key":"bibr11-230949900601400212","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200206000-00013"},{"key":"bibr12-230949900601400212","doi-asserted-by":"publisher","DOI":"10.1620\/tjem.185.209"},{"key":"bibr13-230949900601400212","unstructured":"Staheli LT. Practice of pediatric orthopedics. Philadelphia: Lippincott Williams and Wilkins; 2001:419."},{"key":"bibr14-230949900601400212","doi-asserted-by":"publisher","DOI":"10.1016\/S0749-0712(21)01372-X"},{"key":"bibr15-230949900601400212","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.78B1.0780133"},{"key":"bibr16-230949900601400212","first-page":"154","volume":"37","author":"Sen C","year":"2003","journal-title":"Acta Orthop Traumatol Turc"}],"container-title":["Journal of Orthopaedic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/230949900601400212","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/230949900601400212","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:13:08Z","timestamp":1777594388000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/230949900601400212"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2006,8]]},"references-count":16,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2006,8]]}},"alternative-id":["10.1177\/230949900601400212"],"URL":"https:\/\/doi.org\/10.1177\/230949900601400212","relation":{},"ISSN":["1022-5536","2309-4990"],"issn-type":[{"value":"1022-5536","type":"print"},{"value":"2309-4990","type":"electronic"}],"subject":[],"published":{"date-parts":[[2006,8]]}}}