Brachymetatarsia of the fourth metatarsal, lengthening scarf osteotomy with bone graft

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Ankit Desai
Surjit Lidder *
Andrew R. Armitage
Samuel S. Rajaratnam
Andrew D. Skyrme
(*) Corresponding Author:
Surjit Lidder |


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 z-plasty of the extensor tendons and skin were also performed. At 6 weeks the patient was fully weight bearing and at one-year follow up, the patient was satisfied and discharged. A modified technique of lengthening scarf osteotomy is described for congenital brachymatatarsia. This technique allows one stage lengthening through a single incision with graft incorporation by 6 weeks.

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Author Biography

Andrew D. Skyrme, Department of Trauma and Orthopaedics, Eastbourne District General Hospital, East Sussex