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A cylindrical autogenous diaphyseal bone graft from the neighboring second and fifth metatarsals to correct brachymetatarsia of the third and fourth metatarsals was last described by Biggs in 1979. The authors present a literature review and case report for the treatment of the rare clinical entity of brachymetatarsia. (J Am Podiatr Med Assoc 91(7): 373-378, 2001)