HSS Journal

, Volume 6, Issue 2, pp 235–239 | Cite as

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

  • David M. Scher
  • Arkady Blyakher
  • Michael Krantzow
Case Report


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 


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Copyright information

© Hospital for Special Surgery 2010

Authors and Affiliations

  • David M. Scher
    • 1
  • Arkady Blyakher
    • 1
  • Michael Krantzow
    • 2
  1. 1.Department of Orthopaedic SurgeryHospital for Special SurgeryNew YorkUSA
  2. 2.Kansas City University of Medicine and BiosciencesKansas CityUSA

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