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[Treatment options for brachymetatarsia].
C Wingenfeld1, D Arbab, M Abbara-Czardybon
1Klinik für Orthopädie und Unfallchirurgie, St.-Remigius-Krankenhaus Opladen, 51379, Leverkusen-Opladen, Deutschland. carstenwingenfeld@gmx.de
Der Orthopade
|December 15, 2012
Summary
Brachymetatarsia, a metatarsal bone shortening, can cause foot biomechanical issues and pain. Surgical correction options exist but involve long-term treatment and potential complications.
Area of Science:
- Orthopedics
- Podiatry
- Surgical Innovation
Background:
- Brachymetatarsia involves abnormal shortening of a metatarsal bone.
- This condition can be congenital, idiopathic, or secondary.
- Indications for treatment extend beyond cosmetic concerns, addressing biomechanical changes and pain.
Purpose of the Study:
- To outline the clinical features and treatment options for brachymetatarsia.
- To compare the suitability of different surgical techniques for varying degrees of length deficiency.
- To highlight the challenges and risks associated with surgical correction.
Main Methods:
- Review of surgical correction options for brachymetatarsia.
- Comparison of one-stage lengthening (osteotomy, bone interposition) versus gradual lengthening (callus distraction).
- Discussion of indications based on the extent of metatarsal shortening.
Main Results:
- Shortening of a metatarsal ray alters foot biomechanics, potentially causing metatarsalgia.
- Dorsal toe dislocation is a common clinical feature, leading to shoe conflict and proprioception issues.
- One-stage procedures suit moderate deficiencies; callus distraction is better for larger elongations.
Conclusions:
- Surgical correction of brachymetatarsia involves lengthening osteotomy, bone interposition, or callus distraction.
- The choice of method depends on the degree of metatarsal shortening.
- All procedures require long-term patient commitment and carry risks of complications, impacting patient compliance.
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