46-246
La braquimetatarsia. Presentación de un caso.
Revista Española de Cirugía Osteoarticular. N.º 246. Vol. 46. ABRIL - JUNIO 2011 / 69 Resumen. Se presenta el caso de una mujer de 24 años de edad que consultó por una metatarsalgia central y una alteración estética del antepié derecho. Se trató medi
A. D'ARRIGO, A. ARENAS PLANELLES, Í. ERASO LARA, O. JIMÉNEZ SARMIENTO.
Recepción:
07/09/2011
Aceptación:
07/09/2011
Publicación:
07/09/2011
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Resumen (ES)
A case of a 24-year-old woman affected of symptomatic IV brachymetatarsia associated to a cosmetictrouble of the right foot is presented. She was treated by means of a progressive lengthening of the IV metatarsalbone with a mini external fixator and a distal osteotomy of the first metatarsal bone. It was obtained a correct alignmentof the IV metatarsal, healing of metatarsalgia, and correction of the valgus deformity of the I metatarsal bone.The patient was very satisfied with the cosmetic result, although a slight functional limitation but without pain persisted.Conclusions: Metatarsal lengthening may be indicated in the management of symptommatic brachymetatarsia.We recommend the use of a mini external fixator that allows progressive lengthening of the short bone, consideringthe possible complications of the technique and the long duration that the treatment needs.
Palabras clave (ES):
Deformidad
Malformación
Pie
Braquimetatarso
Braquimetarsia
Resumen (EN)
A case of a 24-year-old woman affected of symptomatic IV brachymetatarsia associated to a cosmetictrouble of the right foot is presented. She was treated by means of a progressive lengthening of the IV metatarsalbone with a mini external fixator and a distal osteotomy of the first metatarsal bone. It was obtained a correct alignmentof the IV metatarsal, healing of metatarsalgia, and correction of the valgus deformity of the I metatarsal bone.The patient was very satisfied with the cosmetic result, although a slight functional limitation but without pain persisted.Conclusions: Metatarsal lengthening may be indicated in the management of symptommatic brachymetatarsia.We recommend the use of a mini external fixator that allows progressive lengthening of the short bone, consideringthe possible complications of the technique and the long duration that the treatment needs.
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