J Korean Foot Ankle Soc.  2010 Dec;14(2):182-185.

One Stage Metatarsal Lengthening of Brachymetatarsia Involving Both 1st and 4th Metatarsal Bone (A case report)

• Kim DH
• Chung DW
• Han CS
• Lee JH
• Park JY
• Oh KI
• Tak DH

Abstract

19 years old girl presented with bilateral 1, 4th brachymetatarsia. We have used an autograft interposition technique to lengthen the brachymetatarsia involving first and fourth metatarsal. The technique was to graft the bone fragment from the relatively long second and third metatarsal bone to be used as an autograft to the short first and fourth metatarsal bone. The method is superior in not having the necessity of a long term external fixator which is needed using callotasis method and in also avoiding the inconvenience of performing an allograft. Absence of donor site complication during autograft from iliac bone is also an advantage to be mentioned. Our technique can therefore be ascertained as a successful method in both cosmetic results and improvement of symptoms including reduction in length of recovery.

Keyword

First and fourth metatarsals; Brachymetatarsia; Autograft interposition

MeSH Terms

Cosmetics
External Fixators
Humans
Imidazoles
Metatarsal Bones
Nitro Compounds
Osteogenesis, Distraction
Tissue Donors
Transplantation, Homologous
Transplants
Cosmetics
Imidazoles
Nitro Compounds