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A Modified Surgical Technique for Lengthening of a Metatarsal Using an External Fixator

  • Case Report
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HSS Journal

Abstract

Brachymetatarsia is a congenital or developmental condition that results in a short metatarsal. Problems that arise from this condition can include pain, difficulty with shoe wear, and cosmetic concerns. Multiple techniques have been described that successfully correct the deformity, including both acute and gradual distraction. We describe a modification of the technique of gradual lengthening by way of distraction osteogenesis in which an axial transarticular K-wire is incorporated into a monolateral frame, thereby increasing the stability of the construct and potentially minimizing complications.

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, Hospital for Special Surgery, 535 East 70th Street, New York, NY, 10021, USA

    David M. Scher MD & Arkady Blyakher MD

  2. Kansas City University of Medicine and Biosciences, 1750 Independence Ave., Kansas City, MO, 64106, USA

    Michael Krantzow BA

Authors
  1. David M. Scher MD
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  2. Arkady Blyakher MD
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  3. Michael Krantzow BA
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Correspondence to David M. Scher MD.

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Each author certifies that he or she has no commercial associations (e.g., consultancies, stock ownership, equity interest, patent/licensing arrangements, etc.) that might pose a conflict of interest in connection with the submitted article.

Each author certifies that his or her institution has approved the reporting of this case and that all investigations were conducted in conformity with ethical principles of research.

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Scher, D.M., Blyakher, A. & Krantzow, M. A Modified Surgical Technique for Lengthening of a Metatarsal Using an External Fixator. HSS Jrnl 6, 235–239 (2010). https://doi.org/10.1007/s11420-010-9160-5

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  • DOI: https://doi.org/10.1007/s11420-010-9160-5

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