Brachymetatarsia. Case report and surgical considerations.
The authors present a case of congenital idiopathic brachymetatarsia of the fourth metatarsal. A combination of techniques was used to address the components of the deformity and its correction, which include preoperative soft tissue stretching, Z-skin plasty, Z-tendon lengthening, Z-lengthening metatarsal osteotomy with internal screw fixation, and bone allografting. Conventional autograft harvesting complications and external fixation were avoided. This case demonstrates the correction of a brachymetatarsal using combined and modified techniques.
Solomon
M G
MG
Hutzel Health Center, Detroit, MI, USA.
Blacklidge
D K
DK
D000293:Adolescent; D001852:Bone Lengthening / Q000379:methods; D005260:Female; D005532:Foot Deformities, Congenital / Q000601:surgery*; D006801:Humans; D008684:Metatarsus / Q000002:abnormalities* / Q000601:surgery; D010027:Osteotomy / Q000379:methods; D011032:Podiatry / Q000379:methods