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Bone-lengthening for shortness of the fourth toe
The Journal of Bone and Joint Surgery. American Volume
|January 1, 1978
Summary
Short fourth metatarsals can be treated effectively using Jinnaka's bone-lengthening method. This surgical technique, involving bone grafts, achieved satisfactory results in over 74% of patients after an average 11.4-year follow-up.
Area of Science:
- Orthopedic surgery
- Podiatric medicine
- Skeletal reconstruction
Background:
- Short fourth metatarsals are a congenital or acquired condition affecting foot biomechanics.
- This condition can lead to pain, functional impairment, and cosmetic concerns.
- Surgical intervention aims to correct the length discrepancy and restore function.
Purpose of the Study:
- To evaluate the long-term clinical and radiographic outcomes of Jinnaka's bone-lengthening method for short fourth metatarsals.
- To assess the efficacy and patient satisfaction with this specific bone-lengthening technique.
Main Methods:
- Retrospective analysis of 102 patients with short fourth metatarsals.
- Surgical treatment using variations of Jinnaka's method in 46 patients, involving interposition of a spindle-shaped bone graft.
- Clinical and radiographic examination of 26 treated patients after an average follow-up of 11.4 years.
Main Results:
- Satisfactory clinical and radiographic outcomes were achieved in 74.4% of the evaluated patients.
- The bone-lengthening procedure demonstrated long-term effectiveness in correcting metatarsal length discrepancies.
- No major complications were reported in the follow-up period.
Conclusions:
- Jinnaka's bone-lengthening method is a viable and effective surgical option for treating short fourth metatarsals.
- The procedure offers durable and satisfactory results, improving foot function and patient quality of life.
- Long-term follow-up confirms the sustained benefits of this metatarsal lengthening technique.