HSS Journal

, Volume 6, Issue 2, pp 235–239

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


    • Department of Orthopaedic SurgeryHospital for Special Surgery
  • Arkady Blyakher
    • Department of Orthopaedic SurgeryHospital for Special Surgery
  • Michael Krantzow
    • Kansas City University of Medicine and Biosciences
Case Report

DOI: 10.1007/s11420-010-9160-5

Cite this article as:
Scher, D.M., Blyakher, A. & Krantzow, M. HSS Jrnl (2010) 6: 235. doi:10.1007/s11420-010-9160-5


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.


metatarsal lengtheningbrachymetatarsiaexternal fixatordistraction osteogenesis

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© Hospital for Special Surgery 2010