Concheiro Barreiro Gonzalo, Gadañón García Arantza, Giráldez Domínguez Jose María
Institute of Medicine and Foot and Ankle Surgery of Galicia, Santiago de Compostela, Spain.
Department of Orthopedic and Trauma Surgery, Hospital Universitario Central de Asturias, Oviedo, Asturias, Spain.
Foot Ankle Surg. 2017 Sep;23(3):e1-e5. doi: 10.1016/j.fas.2016.11.003. Epub 2016 Nov 16.
The term brachimetatarsia refers to an abnormal shortening of the metatarsal bones as a result of early closure of the growth plate. The deformity, which may be congenital, idiopathic or secondary to surgery or trauma, may result in functional as well as cosmetic alterations, which require correction by an orthopedic surgeon. The purpose of this report is to illustrate the possibility of treating this condition by means of a minimally invasive technique which affords results as satisfactory as those of conventional techniques but with fewer complications. We report on the case of a 35-year-old female with a diagnosis of congenital brachymetatarsia, with bilateral involvement of the fourth toe.
We present our experience of surgical correction of brachymetatarsia using percutaneous surgery. The surgical technique is illustrated by a case report with a follow-up of 2 years.
Radiographic and cosmetic correction of the deformity were satisfactory after 9 weeks of treatment. No complications were observed during follow-up.
Although minimally invasive surgery for treatment of brachymetatarsia is a relatively unknown or explored procedure, it provides good clinical and radiological results in experienced hands. In addition, it causes little trauma to the soft tissues, reduces operative time and allows patients a better and faster functional recovery, offering clear advantages over other techniques used for correcting this bone malformation.
短跖骨症一词是指由于生长板过早闭合导致跖骨异常缩短。这种畸形可能是先天性、特发性的，或是手术或创伤继发的，可能导致功能以及外观改变，需要骨科医生进行矫正。本报告的目的是说明通过微创技术治疗这种病症的可能性，该技术能提供与传统技术一样令人满意的效果，但并发症更少。我们报告了一例35岁女性先天性短跖骨症患者的病例，双侧第四趾受累。
我们介绍了使用经皮手术矫正短跖骨症的经验。通过一例随访2年的病例报告来说明手术技术。
治疗9周后，畸形的影像学和外观矫正效果令人满意。随访期间未观察到并发症。
尽管用于治疗短跖骨症的微创手术是一种相对不为人知或较少探索的手术方法，但在经验丰富的医生手中，它能产生良好的临床和影像学效果。此外，它对软组织造成的创伤小，缩短了手术时间，使患者能更好更快地恢复功能，与用于矫正这种骨骼畸形的其他技术相比具有明显优势。
