González MFJJ

Language: Spanish
References: 12
Page: 221-223
PDF size: 80.59 Kb.

ABSTRACT

Introduction. The brachymetatarsia is a congenital disease, this pathology consist in shortening of one or more metatarsals bone, of the one or both feet. Material and methods. In this case, we have a female adolescent, treated at age 13 due to a congenital shortening of the third and fourth metatarsals of both feet. The surgical indication to correct the appearance of her feet because of esthetic motives was her decision, there were no functional limitations. The patience was treated in one surgical time, using only one incision on the affected side, two external mini fixators were place on both feet and a successful bone distraction in the four short metatarsals was carried out. Results. With an average growth of 22 mm per bone; concluding the elongation in the fifth week; the stretching devices are removed in the eighth week and the cosmetic and functional result has been successful with a five year continuation. Discussion. The brachymetatarsia is a pathology relative frequent, actually the major option of treatment is the elongation osseus progressive using external minifixators. This technique is meticulous and safe. There is no previous record neither in the national nor in the international literature about a case of double bilateral brachymetatarsia as mentioned above.

REFERENCES

1. Acosta RR, González MFJ: Braquimetatarsia del cuarto metatarsiano: Elongación ósea progresiva con minifijadores externos. Revista Mexicana de Ortopedia y Traumatología 1999; 13(3): 236-7.

2. Boike AM, Gerber MR, Snyider AJ: Brachymetatarsia. Axial lengthening by using the callus distraction technique. Journal of the American Pediatric Medical Assoc 1993; 83(7): 373-8.

3. Farrera RR: Biomecánica del Pie (sus alteraciones y secuelas, medidas preventivas). Revista de Sanidad Militar México 1988; 42(2): 73-80.

4. Goo JB, Moon SCH: The treatment of brachymetatarsia by one-stage lengthening. The Journal of Bone and Joint Surgery 1998; 80-B(6): 340-7.

5. Harb PE: La elongación ósea, un premio a la paciencia. Revista Mexicana de Ortopedia y Traumatología 1998; 12(3): 234-239.

6. Marquez NJC, Madinaveitia VJA: Braquimetatarsalgia. Tratamiento definitivo mediante elongación ósea. Revista Mexicana de Ortopedia y Traumatología 1996; 10 (5): 224-6.

7. Masuda T, Matoh N, Nakajima T, Tomi M, Ohba K: Treatment of brachymetatarsia treatment using a semicircular lengthener. 1-3 years results in 6 patients. Acta Orthop Scan 1995; 66(1): 43-6.

8. Mendoza VF, Anatolevich SG: Aparato de compresión distracción modelo (ACD-1). Revista Mexicana de Ortopedia y Traumatología 1996; 10 (2): 88-90.

9. Oribio GJA, Soto BJA: Osteotomía de alargamiento en la braquimetatarsia. Acta Ortopédica Mexicana 2002; 16(6): 318-320.

10. Solomon MG, Blacklidge DK: Brachymetatarsia. Case report and surgical considerations. J Am Podiatr Med Assoc 1995; 85(11): 685-9.

11. Tachdjian: Ortopedia pediátrica. Segunda edición. Editorial Interamericana. 4: 2840-4.

12. Tomic S, Krajcinovic O, Dakie N: Use of Ilizarov mini-fixator in treatment of congenital brachymetatarsia. Rev Chir Orthop Rep Geatrice Mot 2000; 86(2)204-8.