Solomon M G, Blacklidge D K
Hutzel Health Center, Detroit, MI, USA.
J Am Podiatr Med Assoc. 1995 Nov;85(11):685-9. doi: 10.7547/87507315-85-11-685.
The authors present a case of congenital idiopathic brachymetatarsia of the fourth metatarsal. A combination of techniques was used to address the components of the deformity and its correction, which include preoperative soft tissue stretching, Z-skin plasty, Z-tendon lengthening, Z-lengthening metatarsal osteotomy with internal screw fixation, and bone allografting. Conventional autograft harvesting complications and external fixation were avoided. This case demonstrates the correction of a brachymetatarsal using combined and modified techniques.
作者报告了一例先天性特发性第四跖骨短缩症病例。采用了多种技术相结合的方法来处理畸形及其矫正问题，这些技术包括术前软组织拉伸、Z形皮瓣成形术、Z形肌腱延长术、带内固定螺钉的Z形跖骨延长截骨术以及骨移植术。避免了传统自体骨采集的并发症和外固定。该病例展示了使用联合及改良技术矫正跖骨短缩症的方法。
