Brachymetatarsia Surgery

Brachymetatarsia os / short toe is a condition in which one of the five long bones of the foot (metatarsals) is abnormally short, resulting in a finger shortened foot. This condition usually occurs in both feet (ie, bilaterally) and the fourth toe. If more than one toe, the condition brachymetapody called.

The most common cause of brachymetatarsia is when the bone growth plate continues to grow ahead of time. This can be caused by trauma, infection or genetic predisposition. Symptoms, walking, weight is normally distributed from finger 5 to the fourth and so on until you reach the top first (Big toe). The weight and pressure is distributed and transferred through the ball of the foot evenly. An abnormally short metatarsal disrupt this process. If there is a fourth metatarsal short, this means that the weight distribution ranging from fifth to third foot and toe, or the 5 th or 3 rd metatarsals are more important than usual that cause pain and discomfort is to say, fell on the ball of the foot.

Brachymetatarsia Treatment is very limited. Treatment, conservative treatment includes modification footwear (More space in the area of ​​the toe box). Fill the shoe to relieve the pain in the area of ​​high pressure. Orthotics can be used to distribute weight to other bones. Surgical treatment is performed to lengthen the bone to its ideal length. This is done by surgically cutting the bone and either

1. The a bone graft between the two extremes
2. Putting a device on the bone to lengthen slowly (my preferred method).

I like the method of elongation as they give medical control over how much he / she can lengthen the bone. Usually the patient to lengthen the bone of 2.1 mm per day as it is spinning a screw in the home (this process is completely free of pain.)

Problem with Method # 1: If the bone needs to significantly extend and surgeon is A bone graft is too long, tendons, arteries and veins can not cooperate. This will result in loss of blood supply to the bone and eventually lose toe.

A well educated patient must understand the possible complications of the procedure and be able to weigh the risks and benefits of surgery. If the patient then chooses to pursue the surgery, this knowledge should help you have realistic expectations. This usually leads to a happier patient and a postoperative greater degree of success of surgery. This is an exacting procedure after surgery while the surgeon and patient.

However, surgery may be rewarding with limited complications if the surgeon is diligent in implementing the patient surgical and diligent in the postoperative regimen.

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