PMID: 12892191Aug 2, 2003Paper

The management of brachymetatarsia

The Journal of Bone and Joint Surgery. British Volume
H T KimJ T Suh

Abstract

We treated 35 brachymetatarsal rays of 18 feet in 12 patients by one-stage lengthening with interpositional bone grafts or by gradual lengthening with callotasis combined with shortening of the adjacent metatarsals and phalanges. Definition of the two parabolas which connect the metatarsal heads and the tips of the toes, and recognition of three patterns of metatarsal length, were helpful guides in treatment. In total, 36 excisions of the phalanges and/or the metatarsals were undertaken. The mean shortening was 8 mm. The radiological results were satisfactory. The mean values were as follows: one-stage lengthening, length gain, 1.3 cm; healing index, 1.3 months/cm; percentage increase, 30%; gradual lengthening, length gain, 2.0 cm; healing index, 2.0 months/cm; percentage increase, 50%. Associated shortening of an adjacent bone can avoid the disadvantages of one-stage lengthening which may not achieve target length and can result in neurovascular complications. Reduction of the target length enables the surgeon to carry out one-stage instead of gradual lengthening. It also shortens the length of treatment in the group undergoing callotasis and improves cosmesis.

Citations

Feb 1, 2014·Foot and Ankle Surgery : Official Journal of the European Society of Foot and Ankle Surgeons·Barry RoseAndrew D Skyrme
Mar 9, 2010·Disability and Rehabilitation·Nick LarsenCraig S Roberts
Nov 29, 2011·Foot and Ankle Clinics·Ho-Seong Lee, Woo-Chun Lee
Feb 26, 2009·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Julian Gilbody, Selvadurai Nayagam
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 9, 2015·The Bone & Joint Journal·J M HallerE N Kubiak
Jan 17, 2017·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Federico FusiniFabio Zanchini
Feb 9, 2012·Orthopedics·Michele R D'ApuzzoRafael J Sierra
Oct 18, 2012·Foot & Ankle Specialist·Michael J C BrownAnand Pillai
Oct 3, 2009·Foot & Ankle International·Woo-Chun LeeJi Yeong Kim
Apr 12, 2018·Foot & Ankle International·Víctor Manuel Peña-MartínezRodolfo Morales-Avalos
Sep 25, 2018·Orthopaedic Nursing·Antonio Córdoba-Fernández, Maria Luisa Vera-Gómez
Jan 9, 2010·Clinical Orthopaedics and Related Research·Sandro GianniniDeianira Luciani
Feb 7, 2007·Expert Review of Medical Devices·James A Sanfilippo, Matthew S Austin
Sep 18, 2014·Knee Surgery & Related Research·Kyung Taek KimLih Wang
Jun 2, 2011·Expert Review of Medical Devices·Michael G ZywielMichael A Mont
Dec 24, 2008·Annals of the Royal College of Surgeons of England·Riazuddin MohammedNaveed Ahmed

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