Lengthening of fourth brachymetatarsia by three different surgical techniques

The Journal of Bone and Joint Surgery. British Volume
W-C LeeJ-S Moon

Abstract

We carried out a retrospective study to assess the clinical results of lengthening the fourth metatarsal in brachymetatarsia in 153 feet of 106 patients (100 female, six males) using three different surgical techniques. In one group lengthening was performed by one-stage intercalary bone grafting secured by an intramedullary Kirschner-wire (45 feet, 35 patients). In the second group lengthening was obtained gradually using a mini-external fixator after performing an osteotomy with a saw (59 feet, 39 patients) and in the third group lengthening was achieved in a gradual manner using a mini-external fixator after undertaking an osteotomy using osteotome through pre-drilled holes (49 feet, 32 patients). The mean age of the patients was 26.3 years (13 to 48). Pre-operatively, the fourth ray of the bone-graft group was longer than that of other two groups (p < 0.000). The clinical outcome was compared in the three groups. The mean follow-up was 22 months (7 to 55). At final follow-up, the mean lengthening in the bone-graft group was 13.9 mm (3.5 to 23.0, 27.1%) which was less than that obtained in the saw group with a mean of 17.8 mm (7.0 to 33.0, 29.9%) and in the pre-drilled osteotome group with a mean of 16.8 mm (6.5 to 28.0, 29....Continue Reading

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Citations

Feb 8, 2014·Journal of the American Podiatric Medical Association·Vanessa Froehlich, Markus Wuenschel
Feb 13, 2016·Foot and Ankle Surgery : Official Journal of the European Society of Foot and Ankle Surgeons·Gamal A Hosny, Abdel-Salam A Ahmed
Nov 29, 2011·Foot and Ankle Clinics·Ho-Seong Lee, Woo-Chun Lee
Oct 12, 2010·Clinics in Podiatric Medicine and Surgery·Christopher BibboAdam Goldkind
Oct 12, 2010·Clinics in Podiatric Medicine and Surgery·Bradley M Lamm, Monique C Gourdine-Shaw
May 23, 2015·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Marc D JonesSarah A Rincker
Jan 17, 2017·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Federico FusiniFabio Zanchini
Oct 18, 2012·Foot & Ankle Specialist·Michael J C BrownAnand Pillai
Apr 12, 2018·Foot & Ankle International·Víctor Manuel Peña-MartínezRodolfo Morales-Avalos
Sep 25, 2018·Orthopaedic Nursing·Antonio Córdoba-Fernández, Maria Luisa Vera-Gómez
Mar 17, 2011·Annals of Plastic Surgery·Jun ArataShigehiko Suzuki
Jul 26, 2021·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Jun ArataShuko Kaito

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