Brachymetatarsia.
Brachymetatarsia is a rare clinical entity that presents a complicated case to the treating surgeon. One-stage lengthening procedures with a variety of biologic and synthetic implants are preferred for metatarsals that only need to be lengthened up to 15 mm, whereas gradual lengthening allows for greater length gain and concomitant lengthening of the soft tissues. Adjacent metatarsal shortening may be used in conjunction with lengthening procedures to restore the parabolic arc of the metatarsal heads. Management should be tailored to the patient's individual deformity and expectations. Individualization of surgical techniques and patient selection criteria can result in a cosmetic, functional result that is satisfactory to the clinician and the patient.
Schimizzi
Aimee
A
Department of Orthopaedics, UCSD Medical Center, 200 West Arbor Drive, #8894, San Diego, CA 92103, USA.
Brage
Michael
M
D005530:Foot Deformities / Q000209:etiology / Q000601:surgery; D006801:Humans; D008682:Metatarsal Bones / Q000002:abnormalities* / Q000601:surgery*; D019857:Osteogenesis, Distraction / Q000009:adverse effects / Q000379:methods*