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Updated: Jun 29, 2025

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
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Brachymetatarsia.

Matías Sepulveda1,2,3, Gabriel Orellana1,2, Francisco Sanchez4,5

  • 1Universidad Austral de Chile, Valdivia, Chile.

EFORT Open Reviews
|April 5, 2024
PubMed
Summary
This summary is machine-generated.

Brachymetatarsia is a condition where a metatarsal bone is significantly shortened, causing foot deformity and potential pain. Treatment options include surgical lengthening procedures to restore normal foot anatomy and function.

Keywords:
footmetatarsalosteogenesispediatrics

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Area of Science:

  • Orthopedics
  • Podiatry
  • Skeletal Dysplasias

Background:

  • Brachymetatarsia is characterized by one or more shortened metatarsal bones, typically by 5 mm or more.
  • This condition disrupts the metatarsal parabola, leading to both aesthetic concerns and functional issues like transfer metatarsalgia.
  • Clinical evaluation should consider potential associations with underlying genetic disorders.

Purpose of the Study:

  • To provide a comprehensive overview of brachymetatarsia.
  • To discuss the clinical presentation, diagnostic considerations, and management options for brachymetatarsia.
  • To highlight the surgical approaches for correcting metatarsal length discrepancies.

Main Methods:

  • Review of current literature on brachymetatarsia.
  • Analysis of clinical findings and diagnostic criteria.
  • Evaluation of surgical techniques for metatarsal lengthening.

Main Results:

  • Brachymetatarsia results in a shortened metatarsal, altering foot biomechanics and potentially causing pain.
  • Differential diagnosis should include genetic syndromes.
  • Surgical interventions aim to correct the length discrepancy and associated deformities.

Conclusions:

  • Brachymetatarsia is a complex condition requiring careful clinical assessment.
  • Surgical correction is often necessary to address functional deficits and improve aesthetics.
  • Both one-stage lengthening and progressive distraction offer viable treatment pathways with distinct benefits and drawbacks.