Case Report

HSS Journal

, Volume 6, Issue 2, pp 235-239

First online:

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

  • David M. ScherAffiliated withDepartment of Orthopaedic Surgery, Hospital for Special Surgery Email author 
  • , Arkady BlyakherAffiliated withDepartment of Orthopaedic Surgery, Hospital for Special Surgery
  • , Michael KrantzowAffiliated withKansas City University of Medicine and Biosciences

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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 lengthening brachymetatarsia external fixator distraction osteogenesis