Hosny Gamal A, Ahmed Abdel-Salam A
Benha Faculty of Medicine, Egypt.
Benha Faculty of Medicine, Egypt.
Foot Ankle Surg. 2016 Mar;22(1):12-6. doi: 10.1016/j.fas.2015.03.009. Epub 2015 Apr 8.
Brachymetatarsia is a rare congenital or developmental condition that results in a short metatarsal. The condition most commonly affects the fourth metatarsal of young and adolescent females. It does not usually produce a functional problem. However, it may produce a significant cosmetic problem especially in young women. The authors present their experience in gradual distraction of the fourth metatarsal to tackle this problem in adults.
That was done using a monolateral frame in 11 feet of female patients with an average age of 23 years. Evaluation depended upon the achievement of the target length, angulation, pain, and satisfaction of the patient.
There were eight excellent and three good results after an average follow up of 2.6 years. Aside from nine cases of mild pin-tract infection, complications were few and minor.
We recommend distraction osteogenesis as the treatment of choice for brachymetatarsia of the fourth toe.
短跖骨是一种罕见的先天性或发育性疾病，可导致跖骨短小。这种疾病最常影响年轻和青春期女性的第四跖骨。它通常不会产生功能问题。然而，它可能会产生严重的美容问题，尤其是在年轻女性中。作者介绍了他们在成人中采用第四跖骨逐渐延长术来解决这一问题的经验。
对平均年龄23岁的女性患者的11只脚使用单侧框架进行手术。评估取决于目标长度的实现、成角情况、疼痛程度以及患者的满意度。
平均随访2.6年后，有8例效果极佳，3例效果良好。除9例轻度针道感染外，并发症很少且较轻微。
我们推荐骨延长术作为治疗第四趾短跖骨的首选方法。
