One-stage correction of multiple brachymetatarsia and hallux valgus with calcaneal autograft

Keywords: Hallux valgus, Foot deformities, Congenital, Toes, Orthopedics

Abstract

Brachymetatarsia is the shortening of the metatarsus caused by congenital premature closure of the metatarsal physis. In general, the patient presents a shortened and dorsally situated toe causing metatarsalgia in addition to aesthetic effects. The aim of surgery is to improve the symptoms and
aesthetics through bone elongation and rebalancing of the metatarsal formula. This elongation may be performed through gradual distraction with an external fixator or a single procedure with a bone graft. We report a case of bilateral brachymetatarsia of the 3rd and 4th metatarsals associated with hallux valgus and deformities in the 2nd toe, in which surgery was performed on the right foot with a calcaneal autograft.
Level of Evidence V; Therapeutic Studies; Expert Opinion. 

Author Biography

Henrique Mansur, Grupo de Cirurgia de Pé e Tornozelo, INTO, Rio de Janeiro, RJ, Brazil

Graduação em medicina pela Universidade Federal do Estado do Rio de Janeiro (UNIRIO); Especialista em Ortopedia e Traumatologia (HNMD); Especialista em cirurgia do pé e tornozelo (INTO); Mestrado em medicina (UNIRIO - em andamento); Primeiro Tenente Força Aérea Brasileira (HFAB); Membro Titular AOTrauma Foundation.

Published
30-12-2018
How to Cite
Rocha, F., Mansur, H., Meira, R., Gusmão, L., Gonçalves, C., & de Castro Junior, I. (2018). One-stage correction of multiple brachymetatarsia and hallux valgus with calcaneal autograft. Scientific Journal of the Foot & Ankle, 12(4), 342-46. https://doi.org/10.30795/scijfootankle.2018.v12.833