Gómez LGS, Melgoza CVM, Ortiz RF

Language: Spanish
References: 11
Page: 116-119
PDF size: 93.95 Kb.

ABSTRACT

One female patients of 12 years old with radiologic and clinical diagnosis of shortening of the first and fourth metatarsian from the left foot, refered pain during the first phase of the step, disminution of the strenght in the fore foot and sobreposition of the fouth toe over the third toe. The lengthening of the fourth metatarsian was made with the Z technique and exterior fixation and shortening of the second and third metatrasian posterior to the osteotomy. The fixation was made nails, and the tendious lenthening with the Z technique for the extensor of the fourth toe from the left foot. With this procedure the deformation was eliminated, disminution of the pain and the biomecanic of the foot was corrected.

REFERENCES

1. Wada AA, Vénzale HB, Takamura KA, Fujii TA, Yanagida HA, Nakamura T. Metatarsal lengthening by callus distraction for brachymetatarsia. J Pediatr Orthop 2004; 13(3): 206-10.

2. Shim JS, Park JJ. Treatment of brachymetatarsia by distraction osteogenesis. J Pediatr Orthop 2006; 26(2): 250-4.

3. Chang W, Statish BRJ, Sung-Tae L, Hae-Ryong S. Complications of distraction osteogenesis inshort first metatarsals. J Pediatr Orthop 2004; 24(6): 711-15.

4. Kim JS, Baek GH, Chung MS, Yoon PW. Multiple congenital brachymetatarsia: a one stage combined shortening and lengthening procedure without iliac bone graft. JBJ Surg-British 2004; 86-B (7): 1013-15.

5. Wug Ch, Rajan Sh, Hae RS, Kyung HK, Hee SK, Byung ChP. Complications of distraction osteogenesis in short fourth metatarsals. J Pediatric Orthop 2003; 3(4): 484-7.

6. Kim HT, Lee SH, Yoo CI, Kong JH, Suh JT. The management of brachymetatarsia. JBJ Surg-British 2003; 85-B(5): 683-90.

7. Choi IH, Chung MS, Baek GH, Choe TJ, Chung ChY. Metatarsal lengthening in congenital brachymetatarsia: a one stage lengthening by callotasis. J Pediatr Orthop 1999; 19(5): 660.

8. Kasuhiro M, Satoru F, Takeshi F, Hirofomi O. Complications following metatarsal lengthening by callus distraction for brachymetatarsia. J Pediatr Orthop 1999; 19(3): 394-7.

9. Rapali S, Chilleni C, Paladini P, De Palma L. Lengthening-arthrodesis operation for brachymetatarsia. JBJ Surg-British 1999; 81-B(Suppl. II): 224.

10. Magnan B, Brogantin A, Regis D, Bartolozzi P. Metatarsal lenghtening by callotasis during the growth phase. JBJ Surg-British 1995; 77-B(4): 602-7.

11. Ross SDK, Faux JR. Surgical treatment of the unstable lesser metatarsophalangeal joint. Technique in Foot and Ankle Surgery 2004; 3(2): 106-12.