Yüce Ali, Yerli Mustafa, Vural Abdurrahman, Erkurt Nazım
*Department of Orthopedics and Traumatology, Prof. Dr. Cemil Taşcıoğlu City Hospital, Istanbul, Turkey.
†Department of Orthopedics and Traumatology, Medicana Kadıköy Hospital, Istanbul, Turkey.
J Am Podiatr Med Assoc. 2025 Mar-Apr;115(2). doi: 10.7547/23-030.
Brachymetatarsia is characterized by the parabola formed through the articulation of the metatarsophalangeal joints of the toes. It is defined as the termination of one or more metatarsals at least 5 mm proximal to this parabola, most commonly affecting the fourth metatarsal. Surgical interventions for brachymetatarsia include osteotomy followed by either acute distraction with grafting or gradual lengthening via distraction osteogenesis. In limb-lengthening procedures involving long bones of the lower extremity, an external fixator in conjunction with an intramedullary nail is commonly used. The combination of an elastic intramedullary nail with an external fixator allows for precise alignment while reducing the duration of external fixation. This technique underscores the significance of maintaining the correct vector an deplane of extension to ensure proper anatomical alignment of the metatarsal.
短跖骨的特征是通过脚趾的跖趾关节连接形成的抛物线。它被定义为一个或多个跖骨在该抛物线至少近端5毫米处终止，最常影响第四跖骨。短跖骨的手术干预包括截骨术，随后进行急性撑开植骨或通过牵张成骨逐渐延长。在涉及下肢长骨的肢体延长手术中，通常使用外固定器结合髓内钉。弹性髓内钉与外固定器的组合允许精确对齐，同时减少外固定的持续时间。该技术强调了保持正确的矢量和伸展平面以确保跖骨正确解剖对齐的重要性。
