title: Lengthening of the first metatarsal bone. A case of congenital shortening.
abstract: A 14-year-old boy had a congenital shortening of the first right metatarsal bone, with overloading of the central metatarsals and medial deviation of the second toe. A percutaneous osteotomy and slow distraction by an external fixator for 10 weeks lengthened the bone from 32 mm to 60 mm. After the distraction, a bone graft was performed, and tenotomies and a capsulotomy corrected a threatening subluxation. Consolidation of the lengthening focus required 16 weeks.
authors.affiliation: Department of Orthopedics, University Clinic of Navarra, Pamplona, Spain.
authors.forename: S
authors.initials: S
authors.lastname: Amillo
authors.forename: J
authors.initials: J
authors.lastname: Gil-Albarova
authors.forename: T
authors.initials: T
authors.lastname: Pampliega
mesh_terms: D000293:Adolescent; D001852:Bone Lengthening / Q000379:methods*; D016025:Bone Transplantation; D016267:External Fixators; D006801:Humans; D008297:Male; D008682:Metatarsal Bones / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000601:surgery; D010027:Osteotomy; D011859:Radiography; D013997:Time Factors