{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T00:09:15Z","timestamp":1792109355323,"version":"4.4.0"},"reference-count":0,"publisher":"AVES YAYINCILIK A.\u015e.","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["AOTT"],"abstract":"<jats:p>Abstract\n\nObjective: The aim of this study was to present the results of seven cases of metacarpal lengthening by distraction osteogenesis and to discuss the ideal daily rate of distraction.\\r\\nMethods: Metacarpal lengthening was performed by distraction osteogenesis in the seven metacarpals of four patients (3 females, 1 male; mean age: 14.9 years). A unilateral external fixator was used for lengthening. Lengthening was initiated with a distraction rate of 2\u00a50.5 mm\/day in the patient with bilateral involvement of the middle and ring metacarpals. On the tenth day of lengthening, distraction was discontinued due to pain and contracture. Then, distraction was continued with a rate of 2\u00a50.25 mm\/day. In all other cases, the distraction rate was 0.5 mm\/day. Pre- and postoperative range of motion was measured with a goniometer. Patient satisfaction was evaluated with visual analog scale.\\r\\nResults: The mean pre- and postoperative metacarpal lengths were 34.6 mm (range: 33 to 37) and 49.7 mm (range: 47 to 52), respectively. The mean lengthening achieved was 15.1 mm (range: 14 to 17), while the mean distraction rate was 0.55 mm\/day (range: 0.48 to 0.63). No functional loss was observed in the fingers at the final check-up. The patients were happy with the functional and cosmetic results. \\r\\nConclusion: Distraction osteogenesis is a safe method providing acceptable cosmetic and functional results in patients with congenital metacarpal shortness. The length of metacarpals and muscles that will be affected from lengthening should be considered when determining the daily rate of distraction.\n\n\u00d6zet\n\nAma\u00e7: \u00c7al\u0131\u015fman\u0131n amac\u0131 distraksiyon osteogenezi ile uzatma yapt\u0131\u011f\u0131m\u0131z do\u011fu\u015ftan k\u0131sa metakarpl\u0131 7 olgunun sonu\u00e7lar\u0131n\u0131 sunmak ve g\u00fcnl\u00fck uzatma miktar\u0131n\u0131n ne kadar olmas\u0131 gerekti\u011fini tart\u0131\u015fmakt\u0131. \\r\\n\u00c7al\u0131\u015fma plan\u0131: Klini\u011fimizde 2004-2007 y\u0131llar\u0131 aras\u0131nda, do\u011fu\u015ftan metakarp k\u0131sal\u0131\u011f\u0131 olan 4 hastan\u0131n (3 kad\u0131n, 1 erkek; ya\u015f ortalamas\u0131: 14.9 y\u0131l) 7 metakarp\u0131 distraksiyon osteogenezisi y\u00f6ntemiyle uzat\u0131ld\u0131. Uzatma i\u00e7in unilateral eksternal fiksat\u00f6r kullan\u0131ld\u0131. Her 2 elde 3. ve 4. parmaklarda tutulum olan olguda ba\u015flang\u0131\u00e7ta g\u00fcnl\u00fck 2\u00a50.5 mm h\u0131z\u0131nda uzatma yap\u0131ld\u0131. Uzatman\u0131n onuncu g\u00fcn\u00fcnde t\u00fcm parmaklarda a\u011fr\u0131 ve kontrakt\u00fcr g\u00f6r\u00fclmesi \u00fczerine uzatmaya ara verilip daha sonra 2\u00a50.25 mm\/g\u00fcn h\u0131z\u0131nda devam edildi. Di\u011fer t\u00fcm olgularda uzatma 0.5 mm\/g\u00fcn h\u0131z\u0131nda yap\u0131ld\u0131. Ameliyat \u00f6ncesi ve sonras\u0131 eklem hareket a\u00e7\u0131kl\u0131\u011f\u0131 goniometre ile \u00f6l\u00e7\u00fcld\u00fc. Hasta memnuniyeti visual analog skala ile de\u011ferlendirildi.\\r\\nBulgular: Ameliyat \u00f6ncesi k\u0131sa metakarplar\u0131n ortalama uzunlu\u011fu 34.6 (da\u011f\u0131l\u0131m: 33-37) mm, ameliyat sonras\u0131 ise 49.7 (da\u011f\u0131l\u0131m: 47-52) mm idi. G\u00fcnl\u00fck ortalama distraksiyon uzunlu\u011fu 0.55 mm (da\u011f\u0131l\u0131m: 0.48-0.63), sa\u011flanan ortalama uzatma miktar\u0131 ise 15.1 (da\u011f\u0131l\u0131m: 14-17) mm idi. Son kontrollerde parmaklarda fonksiyonel k\u0131s\u0131tl\u0131l\u0131k olmad\u0131\u011f\u0131 ve hastalar\u0131n fonksiyonel ve kozmetik sonu\u00e7lardan memnun olduklar\u0131 g\u00f6r\u00fcld\u00fc. \\r\\n\u00c7\u0131kar\u0131mlar: Distraksiyon osteogenezi do\u011fu\u015ftan metakarp k\u0131sal\u0131\u011f\u0131nda kozmetik ve fonksiyonel a\u00e7\u0131dan tatminkar sonu\u00e7lar veren g\u00fcvenli bir y\u00f6ntemdir. G\u00fcnl\u00fck uzatma miktar\u0131 belirlenirken metakarp boyu ve kas gerginli\u011fi dikkate al\u0131nmal\u0131d\u0131r.<\/jats:p>","DOI":"10.3944\/aott.2013.3080","type":"journal-article","created":{"date-parts":[[2013,4,29]],"date-time":"2013-04-29T04:05:01Z","timestamp":1367208301000},"page":"79-85","source":"Crossref","is-referenced-by-count":7,"title":["Lengthening by distraction osteogenesis in congenital shortening of metacarpals"],"prefix":"10.5152","volume":"47","author":[{"given":"Mehmet","family":"Bulut","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bekir","family":"Yavuz Ucar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ibrahim","family":"Azboy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Oktay","family":"Belhan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erhan","family":"Yilmaz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lokman","family":"Karakurt","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"3111","published-online":{"date-parts":[[2020,2,7]]},"container-title":["Acta Orthopaedica et Traumatologica Turcica"],"original-title":[],"link":[{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/download\/2695\/2650","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T11:25:38Z","timestamp":1763465138000},"score":1,"resource":{"primary":{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/view\/2695"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,2,7]]},"references-count":0,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2013,1,2]]}},"URL":"https:\/\/doi.org\/10.3944\/aott.2013.3080","relation":{},"ISSN":["2589-1294","1017-995X"],"issn-type":[{"value":"2589-1294","type":"electronic"},{"value":"1017-995X","type":"print"}],"subject":[],"published":{"date-parts":[[2020,2,7]]}}}