title: Brachymetatarsia of the fourth metatarsal, lengthening scarf osteotomy with bone graft.
abstract: A 16-year-old girl presented with left fourth metatarsal shortening causing significant psychological distress. She underwent lengthening scarf osteotomy held with an Omnitech(®) screw (Biotech International, France) with the addition of two 1 cm cancellous cubes (RTI Biologics, United States). A lengthening zplasty of the extensor tendons and skin were also performed. At 6 weeks the patient was fully weight bearing and at one-year follow up, the patient was satisfied and discharged. A modified technique of lengthening scarf osteotomy is described for congenital brachymatatarsia. This technique allows one stage lengthening through a single incision with graft incorporation by 6 weeks.
authors.affiliation: Department of Trauma and Orthopaedics, Eastbourne District General Hospital , East Sussex, UK.
authors.forename: Ankit
authors.initials: A
authors.lastname: Desai
authors.forename: Surjit
authors.initials: S
authors.lastname: Lidder
authors.forename: Andrew
authors.initials: A
authors.lastname: R Armitage
authors.forename: Samuel
authors.initials: S
authors.lastname: S Rajaratnam
authors.forename: Andrew
authors.initials: A
authors.lastname: D Skyrme
keywords: lengthening; omnitech; scarf osteotomy