Ortiz-Romero Mercedes, Fernández-Garzón Álvaro, Caceres-Matos Rocío, García de la Peña Raquel, Rayo-Perez Ana M, Gordillo-Fernández Luis M
Department of Podiatry, Faculty of Nursing, Physiotherapy and Podiatry, University of Seville, 41009 Seville, Spain.
Private Practice in Podocorp Clinic, 11201 Algeciras, Spain.
Medicina (Kaunas). 2025 Mar 13;61(3):497. doi: 10.3390/medicina61030497.
Brachymetatarsia is a rare congenital anomaly characterized by the shortening of one or more metatarsals, which can lead to functional impairment, pain, and aesthetic concerns. This case report describes a 17-year-old female patient with brachymetatarsia affecting the third and fourth metatarsals of the right foot, which was unresponsive to conservative treatment and caused persistent pain while standing. To address this condition, a single-stage surgical approach was performed using an autologous calcaneal bone graft to lengthen the affected metatarsals. Additionally, the second and fifth metatarsals were shortened to restore a physiological metatarsal parabola and resolve chronic metatarsalgia. The procedure resulted in complete correction of the metatarsal parabola, full resolution of metatarsal pain, and satisfactory functional recovery. The use of an autologous calcaneal graft proved to be an effective and reliable surgical option due to its cortico-cancellous composition, high osteogenic potential, and low antigenicity. This case highlights the advantages of autologous bone grafting as a valuable technique in the surgical management of brachymetatarsia.
短跖骨是一种罕见的先天性异常，其特征为一根或多根跖骨缩短，可导致功能障碍、疼痛和美观问题。本病例报告描述了一名17岁女性患者，患有影响右足第三和第四跖骨的短跖骨，对保守治疗无反应，站立时引起持续疼痛。为解决此病症，采用单阶段手术方法，使用自体跟骨骨移植来延长受影响的跖骨。此外，缩短第二和第五跖骨以恢复生理性跖骨抛物线并解决慢性跖痛症。该手术导致跖骨抛物线完全矫正，跖骨疼痛完全缓解，功能恢复令人满意。由于其皮质-松质成分、高成骨潜力和低抗原性，自体跟骨移植被证明是一种有效且可靠的手术选择。本病例突出了自体骨移植作为短跖骨手术治疗中有价值技术的优势。
