We performed nine metatarsal and three proximal phalangeal lengthenings in five patients with congenital brachymetatarsia of the first and one or two other metatarsal bones, by a one-stage combined shortening and lengthening procedure using intercalcary autogenous bone grafts from adjacent shortened metatarsal bones. Instead of the isolated lengthening of the first and the other metatarsal bone...

Metatarsalgia is a recognised complication following iatrogenic shortening of the first metatarsal in the management of hallux valgus. The traditional surgical treatment is by shortening osteotomies of the lesser metatarsals. We describe the results of lengthening of iatrogenic first brachymetatarsia in 16 females. A Scarf-type osteotomy was used in the first four cases and a step-cut of equal ...

109 Bone grafting is an important aspect of foot and ankle surgery.1 Despite the long history and widespread use of bone grafts and substitutes,2 there have been few studies documenting patterns of utilization of bone grafting by podiatric surgeons. A survey on the use of bone grafts among orthopedists was reported in 1984 by Miller et al.3 The present study was undertaken in order to determine...

A 16-year-old girl presented with left fourth metatarsal shortening causing significant psychological distress. She underwent lengthening scarf osteotomy held with an Omnitech(®) screw (Biotech International, France) with the addition of two 1 cm cancellous cubes (RTI Biologics, United States). A lengthening zplasty of the extensor tendons and skin were also performed. At 6 weeks the patient wa...

A 33 years old female patient presented with posttraumatic pain in the right foot for which radiographs of the right foot was advised. No fracture was detected on radiographs and patient was managed conservatively on medications and posterior splint immobilization. We found coincidentally a short fourth metatarsal and an accessory navicular bone in the right foot radiographs. After 3 weeks of i...

Background Clinical evaluation of pes anatomy and abnormalities are rarely reported in rheumatology literature. Often deviations from normal not evaluated, unless subsequent pathology symptoms overt. Foot may occasionally lead to overdiagnosis seronegative arthropathies. Objectives This study aims identify any foot a healthy young population army recruits, using clinical digital scanning – pelm...