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

  • Ankit Desai Department of Trauma and Orthopaedics, Eastbourne District General Hospital, East Sussex, United Kingdom.
  • Surjit Lidder | surjitlidder@me.com Department of Trauma and Orthopaedics, Eastbourne District General Hospital, East Sussex, United Kingdom.
  • Andrew R. Armitage Department of Trauma and Orthopaedics, Eastbourne District General Hospital, East Sussex, United Kingdom.
  • Samuel S. Rajaratnam Department of Trauma and Orthopaedics, Eastbourne District General Hospital, East Sussex, United Kingdom.
  • Andrew D. Skyrme Department of Trauma and Orthopaedics, Eastbourne District General Hospital, East Sussex, United Kingdom.

Abstract

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

 

 

Published
2013-09-11
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Issue
Section
Case Reports
Keywords:
omnitech, scarf osteotomy, lengthening
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How to Cite
Desai, A., Lidder, S., Armitage, A. R., Rajaratnam, S. S., & Skyrme, A. D. (2013). Brachymetatarsia of the fourth metatarsal, lengthening scarf osteotomy with bone graft. Orthopedic Reviews, 5(3), e21. https://doi.org/10.4081/or.2013.e21