A Modified Surgical Technique for Lengthening of a Metatarsal Using an External Fixator


David M. Scher, MD

Associate Attending Orthopedic Surgeon, Hospital for Special Surgery
Associate Professor, Weill Cornell Medical College

Arkady Blyakher, MD
Department of Orthopaedic Surgery, Hospital for Special Surgery

Michael Krantzow, BA
Kansas City University of Medicine and Biosciences

Abstract

Brachymetatarsia is a congenital or developmental condition that results in a short metatarsal. Problems that arise from this condition can include pain, difficulty with shoe wear, and cosmetic concerns. Multiple techniques have been described that successfully correct the deformity, including both acute and gradual distraction. We describe a modification of the technique of gradual lengthening by way of distraction osteogenesis in which an axial transarticular K-wire is incorporated into a monolateral frame, thereby increasing the stability of the construct and potentially minimizing complications.

This article appears in HSS Journal: Volume 6, Number 2.
View the full article at springerlink.com.

About the HSS Journal

HSS Journal, an academic peer-reviewed journal, is published twice a year, February and September, and features articles by internal faculty and HSS alumni that present current research and clinical work in the field of musculoskeletal medicine performed at HSS, including research articles, surgical procedures, and case reports.


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