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-
1.
Barik S, Farr S: Brachymetacarpia and brachymetatarsia: do we need to operate? EFORT Open Rev 6: 15, 2021.
-
2.
Kaldani F, Santoso A, Mariyanto I: Brachymetatarsia of 4th metatarsal treated with distraction osteogenesis: a case report. JOTI 3: 3, 2020. Available at: https://journal.indonesia-orthopaedic.org/index.php/j-paboi/article/view/120. Accessed March 21, 2025.
-
3.
Peña-Martínez VM, Palacios-Barajas D, Blanco-Rivera JC, et al: Results of external fixation and metatarsophalangeal joint fixation with K-wire in brachymetatarsia. Foot Ankle Int 39: 942, 2018.
-
4.
Zhu D, Lefèvre M, Fernandez A, et al: Brachymetatarsia: surgical management, case report, and literature review. Case Rep Orthop 2022: 8253096, 2022.
-
5.
Lee KB, Yang HK, Chung JY, et al: How to avoid complications of distraction osteogenesis for first brachymetatarsia. Acta Orthop 80: 220, 2009.
-
6.
Kim HT, Hong SM, Kim IH: Treatment of brachymetatarsia involving the great toe. JB JS Open Access 3: e0046, 2018.
-
7.
Kim HS, Lee YS, Jung JH, et al: Complications of distraction osteogenesis in brachymetatarsia: comparison between the first and fourth brachymetatarsia. Foot Ankle Surg 25: 113, 2019.
-
8.
Lamm BM: Percutaneous distraction osteogenesis for treatment of brachymetatarsia. J Foot Ankle Surg 49: 197, 2010.
-
9.
Kumar P, Pillai A, Bate JA, et al: Distraction osteogenesis for brachymetatarsia using initial circular fixator and early trans-fixation metatarsal K-wires—a series of three cases†. J Surg Case Rep 2018: rjy269, 2018.
-
10.
Simpson AH, Cole AS, Kenwright J: Leg lengthening over an intramedullary nail. J Bone Joint Surg Br 81: 1041, 1999.
-
11.
El-Husseini TF, Ghaly NA, Mahran MA, et al: Comparison between lengthening over nail and conventional Ilizarov lengthening: a prospective randomized clinical study. Strategies Trauma Limb Reconstr 8: 97, 2013.
-
12.
Gordon JE, Goldfarb CA, Luhmann SJ, et al: Femoral lengthening over a humeral intramedullary nail in preadolescent children. J Bone Joint Surg Am 84: 930, 2002.
-
13.
Popkov A, Aranovich A, Antonov A, et al: Lower limb lengthening and deformity correction in polyostotic fibrous dysplasia using external fixation and flexible intramedullary nailing. J Orthop 21: 192, 2020.
-
14.
Lamm BM, Moore KR, Knight JM, et al: Intramedullary metatarsal fixation for treatment of delayed regenerate bone in lengthening of brachymetatarsia. J Foot Ankle Surg 57: 987, 2018.
-
15.
Lamm BM, Gourdine-Shaw MC: Problems, obstacles, and complications of metatarsal lengthening for the treatment of brachymetatarsia. Clin Podiatr Med Surg 27: 561, 2010.
Metatarsal Lengthening With Monolateral External Fixator Using Intramedullary Kirschner Wire in Brachymetatarsia Surgery
Surgical Technique
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Brachymetatarsia is characterized by the parabola formed through the articulation of the metatarsophalangeal joints of the toes. It is defined as the termination of one or more metatarsals at least 5 mm proximal to this parabola, most commonly affecting the fourth metatarsal. Surgical interventions for brachymetatarsia include osteotomy followed by either acute distraction with grafting or gradual lengthening via distraction osteogenesis. In limb-lengthening procedures involving long bones of the lower extremity, an external fixator in conjunction with an intramedullary nail is commonly used. The combination of an elastic intramedullary nail with an external fixator allows for precise alignment while reducing the duration of external fixation. This technique underscores the significance of maintaining the correct vector an deplane of extension to ensure proper anatomical alignment of the metatarsal.
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