Brachymetatarsia. Case report and surgical considerations

MG Solomon Hutzel Health Center, Detroit, MI, USA.

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DK Blacklidge Hutzel Health Center, Detroit, MI, USA.

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The authors present a case of congenital idiopathic brachymetatarsia of the fourth metatarsal. A combination of techniques was used to address the components of the deformity and its correction, which include preoperative soft tissue stretching, Z-skin plasty, Z-tendon lengthening, Z-lengthening metatarsal osteotomy with internal screw fixation, and bone allografting. Conventional autograft harvesting complications and external fixation were avoided. This case demonstrates the correction of a brachymetatarsal using combined and modified techniques.

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