Intramedullary Metatarsal Fixation for Treatment of Delayed Regenerate Bone in Lengthening of Brachymetatarsia

Lamm, Bradley M.; Moore, Kyle R.; Knight, Jessica; Pugh, Emily; Baker, Jeffrey R.; Gesheff, Martin G.

doi:10.1053/j.jfas.2017.10.030

Cited by 7 publications

(3 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The major advantage of callus distraction over one stage bone grafting is that the lengthening of the metatarsal can be increased. In the review of the literature, the mean lengthening of the callus distraction is 18.55 mm (range 15 to 20 mm) and for the one stage procedure is 12.6 mm (range 9.0 to 20.9 mm) [1,2,4,5,8,[10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25]. Additionally, the progressive distraction has a second advantage: the simultaneous lengthening of the bone and the soft tissue can avoid the stress caused to the toe.…”

Section: Discussionmentioning

confidence: 99%

Brachymetatarsia: Surgical Management, Case Report, and Literature Review

Zhu¹,

Lefèvre²,

Fernandez³

et al. 2022

Case Reports in Orthopedics

View full text Add to dashboard Cite

Background. Brachymetatarsia is defined by an abnormal shortening of the metatarsal bone. This rare condition is mostly primary and congenital. Consequences of this malformation are both esthetic and functional, due to pain and mechanical problems in the forefoot. Surgical management is an important part of patient care. There are two main options: gradual lengthening by progressive callotosis distraction using an external fixator and one stage lengthening using bone graft and osteotomy of the bone. This review presents two cases using the one stage lengthening surgical management method. We also discuss some reports in the literature with the aim to compare the advantages and disadvantages of the two surgical methods. Literature concerning the surgical management of brachymetatarsia was identified using the PubMed and Google Scholar databases. Patient Presentation. We describe two female patients aged 20 and 26 years who underwent one stage lengthening surgery of the fourth toe with isolated brachymetatarsia using an iliac bone graft and internal fixator plate. The two patients had a lengthening of around 10 mm after postoperative evaluation. No skin complications were noted, but one of the patients reported flexor stiffness after surgery. Concerning the functional and cosmetic aspects, the two patients are satisfied with the management. Conclusions. In the literature, one stage lengthening seems to be the most favorable option for the care of brachymetatarsia. Studies show a short healing time and fewer complications like infection, stiffness, malalignment, and malunion. Some reviews note the utility of the gradual lengthening of severe brachymetatarsia when a longer lengthening is necessary. There is no definite consensus concerning the management of brachymetatarsia.

show abstract

Section: Discussionmentioning

confidence: 99%

Brachymetatarsia: Surgical Management, Case Report, and Literature Review

Zhu¹,

Lefèvre²,

Fernandez³

et al. 2022

Case Reports in Orthopedics

View full text Add to dashboard Cite

show abstract

“…Additionally, the Lamm brachymetatarsia classification system provides accurate diagnosis of the deformity and offers a surgical treatment algorithm for primary and revision brachymetatarsia (Figs. [5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20].…”

Section: Treatment For a 4abcmentioning

confidence: 99%

“…These include only placing half pins in the metatarsal, placing half pins in the metatarsal and an axial toe pin, placing pins in the metatarsals and half pins in the toe, half circular frame constructs, plating of the acute lengthening, acute shortening of the longer metatarsals (1)(2)(3)(4). Many published manuscripts outline the potential complications associated with lengthening metatarsals and the treatment of these complications (1)(2)(3)(4)(5)(6).…”

mentioning

confidence: 99%