Resistant metatarsus adductus deformity (illustrated surgical reconstructive techniques).

Area of Science:

• Orthopedic Surgery
• Pediatric Orthopedics
• Foot and Ankle Surgery

Background:

• Metatarsus adductus is a common congenital foot deformity.
• The Berman-Gartland procedure is a traditional surgical approach.
• Osseous fixation methods are crucial for surgical success.

Purpose of the Study:

• To review the clinical dilemma of metatarsus adductus.
• To present a modified Berman-Gartland procedure.
• To evaluate the efficacy of osseous fixation techniques.

Main Methods:

• Retrospective analysis of 17 surgical cases.
• Clinical illustration of the modified Berman-Gartland procedure.
• Description of five osseous fixation methods.

Main Results:

• The modified procedure and fixation techniques were successfully applied.
• All 17 cases demonstrated adherence to published indications and guidelines.
• Clinical outcomes supported the effectiveness of the surgical approach.

Conclusions:

• The modified Berman-Gartland procedure offers a viable surgical option for metatarsus adductus.
• Appropriate selection of osseous fixation is essential for successful surgical correction.
• Adherence to established guidelines ensures favorable patient outcomes in metatarsus adductus surgery.