A Modified Surgical Technique for Lengthening of a Metatarsal Using an External Fixator Authors
First Online: 19 March 2010 Received: 26 August 2008 Accepted: 08 February 2010 DOI:
Cite this article as: Scher, D.M., Blyakher, A. & Krantzow, M. HSS Jrnl (2010) 6: 235. doi:10.1007/s11420-010-9160-5 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.
Keywords metatarsal lengthening brachymetatarsia external fixator distraction osteogenesis
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