Background: Brachymetatarsia is a rare clinical entity that presents a challenging problem for surgeons. One-stage lengthening with an autologous bone graft has been preferred for metatarsals that require a limited lengthening. With a gradual lengthening of metatarsals, callus distraction (callotasis) can achieve a greater length gain and a concomitant lengthening of the soft tissue. This article presents results of callotasis for adults with first brachymetatarsia.
Methods: The outcomes of nine cases of first brachymetatarsia in five adult patients who underwent metatarsal lengthening by callotasis between March 1999 and February 2005 were retrospectively reviewed and analyzed.
Results: The average length gain was 16.4 mm and the average lengthening percentage was 43.7%. In addition, the average healing index was calculated as 3.8 months/cm, which was higher than that reported previously in the fourth brachymetatarsia.
Conclusion: It was concluded that the period of bony consolidation following callotasis is longer in the first brachymetatarsia than in the fourth brachymetatarsia. Presumably, this might be because of the anatomically larger osteotomized cut surface and its weight-bearing function.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.3113/FAI.2012.1103 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
[Immediate metatarsal lengthening for congenital brachymetatarsia].
Zhongguo Gu Shang
December 2024
Department of Orthopaedics and Traumatology, Huzhou Hospital of Traditional Chinese Medicine Affiliated to Zhejiang Chinese Medicine University, Huzhou 313000, Zhejiang, China.
Objective: To explore clinical efficacy of congenital brachymetatarsia with immediate metatarsal lengthening.
Methods: From March 2015 to December 2020, 7 patients with brachymetatarsia were treated, including 6 females and 1 male;aged range from 18 to 30 years old;there were 5 patients with metatarsal microsomia on one foot, 2 patients with metatarsal microsomia on the first and fourth right foot, and immediate extension of metatarsal microsomia on the first and fourth right foot;two patients were short metatarsal bones of both feet. The length of short metatarsal bone, length of normal metatarsal bone, distance of short metatarsal bone and healing of bone graft were observed before and 12 months after operation.
Calcaneal lengthening osteotomy using ipsilateral fibular graft in the treatment of flexible flatfoot deformity: preliminary results.
Eur J Orthop Surg Traumatol
November 2024
Department of Orthopaedic Surgery, Kasr Al-Ainy Faculty of Medicine, Cairo University, Cairo, Egypt.
Purpose: Flexible flatfoot deformity is quite common among adolescents. This study aimed to report the preliminary results of calcaneal lengthening osteotomy using a fibular bone graft.
Methods: This single-center, retrospective study included 28 patients (28 feet) with symptomatic flexible flatfoot deformity.
Morton's Foot Syndrome: A Case Report and Overview.
Cureus
September 2024
Anatomy, Panimalar Medical College Hospital & Research Institute, Chennai, IND.
Article Synopsis
- Morton's foot syndrome is a condition where the first toe bone (metatarsal) is shorter than the second one, and it can run in families.
- A 46-year-old woman with the syndrome came to the doctor because she felt tired and weak, and doctors noticed problems with her feet.
- The report talks about how to identify Morton's foot syndrome and manage it so that there aren’t any serious issues later on.
Lateral column lengthening versus subtalar arthroereisis for pes planovalgus in patients with cerebral palsy: a systematic review and meta-analysis.
Front Pediatr
September 2024
Department of Orthopedics, Ditmanson Medical Foundation Chia-yi Christian Hospital, Chia-yi, Taiwan.
Introduction: Although pes planus, a common deformity in children with cerebral palsy (CP), is predominantly treated through lateral column lengthening (LCL), subtalar arthroereisis (SA) has also gained popularity for this purpose. This systematic review was conducted to compare surgical outcomes between LCL and SA for pes planovalgus in children with CP.
Methods: PubMed, EMBASE, Cochrane Library, and Google Scholar were comprehensively searched for relevant articles reporting the outcomes of LCL and SA in the target population.
Calcaneal Lengthening after Tarsal Bone Fusion for Massive Calcaneus Defect Reconstruction.
Orthop Surg
September 2024
Department of Orthopedics, Shanghai Sixth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Article Synopsis
- Calcaneus defects pose a significant challenge in reconstruction due to limited existing treatment options, which often have shortcomings; the study introduces a novel method combining tarsal bone fusion and gradual calcaneus lengthening for cases with substantial bone loss.
- A retrospective analysis of six patients who underwent this technique showed promising results, with an average calcaneal axial lengthening of 43.8 mm and favorable clinical outcomes measured by the American Orthopedic Foot and Ankle Score (AOFAS).
- The findings indicate that using the Ilizarov technique in conjunction with tarsal bone fusion can effectively restore foot and ankle function even in cases of considerable calcaneal loss.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!