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Simultaneous Surgical Correction for Severe Hallux Valgus Deformity Secondary to Lessor Brachymetatarsia

Received: 22 February 2017     Accepted: 18 March 2017     Published: 24 October 2017
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Abstract

Progression to severe hallux valgus following the second and third brachymetatarsia is a rare deformity. This condition is a challenging problem because the entire correction of hallux valgus deformity and metatarsal length discrepancy is necessary to prevent a recurrence of deformity. Metatarsal length discrepancy between the first and second ray in early adolescent patient can be aggravated with the course of time and result in a failed hallux valgus correction. Because there are few references in the literature on the operative procedures for this type of combined deformity, we report a case of 11-year-old boy treated with lesser metatarsals lengthening and the first metatarsal corrective osteotomy.

Published in Advances in Surgical Sciences (Volume 5, Issue 5)
DOI 10.11648/j.ass.20170505.12
Page(s) 65-68
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2017. Published by Science Publishing Group

Keywords

Hallux Valgus, Brachymetatarsia, Metatarsal Length Discrepancy, Surgical Correction

References
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[2] Smolle E, Scheipl S, Leithner A, et al. (2015) Management of congenital fourth brachymetatarsia by additive autologous lengthening osteotomy (AALO): a case series. Foot Ankle Int 36: 325-329.
[3] Shim JS, Park SJ (2006) Treatment of brachymetatarsia by distraction osteogenesis. J Pediatr Orthop 26: 250-254.
[4] Giannini S, Faldini C, Pagkrati S, et al. (2010) One-stage metatarsal lengthening by allograft imposition: a novel approach for congenital brachymetatarsia. Clin Orthop 468: 1933-1942.
[5] Kim JS, Baek GH, Chung MS (2004) Multiple congenital brachymetatarsia: a one-stage combined shortening and lengthening procedure without iliac bone graft. J Bone Joint Surg Br 86: 1013-1015.
[6] Brown MJ, Yeoman TF, Roberts S (2012) Case report: a modified 1-stage technique for the treatment of brachymetatarsia. Foot Ankle Spec 5: 389-393.
[7] Coughlin MJ, Jones CP (2007) Hallux valgus: demographics, etiology, and radiographic assessment. Foot Ankle Int 28: 759-777.
[8] Barouk LS (2014) The effect of gastrocnemius tightness on the pathogenesis of juvenile hallux valgus. Foot Ankle Clin 19: 807-822.
[9] Young KW, Kim JS, Cho JW (2013) Characteristics of male adolescent-onset hallux valgus. Foot Ankle Int 34: 1111-1116.
[10] Chell J, Dhar S (2014) Pediatric hallux valgus. Foot Ankle Clin 19: 235-243.
[11] Coughlin MJ (1995) Juvenile hallux valgus: etiology and treatment. Foot Ankle Int 16: 682-697.
[12] Nery C, Coughlin MJ, Baumfeld D (2013) Hallux valgus in males, part 1: demographics, etiology, and comparative radiology. Foot Ankle Int 34: 629-635.
[13] Coughlin MJ (1997) Hallux valgus in men: effect of the distal metatarsal articular angle on hallux valgus correction. Foot Ankle Int 18: 463-470.
[14] John S, Weil L, Weil LS (2010) Scarf osteotomy for the correction of adolescent hallux valgus. Foot Ankle Spec 3: 10-14.
[15] Haleem AM, Mintz DN, Rozbruch SR (2014) Metatarsophalangeal arthritis following fourth metatarsal lengthening treated with distraction arthroplasty: case report. Foot Ankle Int 35: 1075-1081.
[16] Kashuk KB, Hanft JR, Schabler JA (1991) Alternative autogenous bone graft donor sites in brachymetatarsia reconstruction: a review of the literature with clinical presentations. J Foot Ankle Surg 30: 246-252.
[17] Brown MJC, Yeoman TFM, Roberts S (2012) Case report: a modified 1-stage technique for the treatment of brachymetatarsia. Foot Ankle Spec 5: 389-393.
Cite This Article
  • APA Style

    Byung-Ki Cho, Ji-Kang Park, Seung-Myung Choi. (2017). Simultaneous Surgical Correction for Severe Hallux Valgus Deformity Secondary to Lessor Brachymetatarsia. Advances in Surgical Sciences, 5(5), 65-68. https://doi.org/10.11648/j.ass.20170505.12

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    ACS Style

    Byung-Ki Cho; Ji-Kang Park; Seung-Myung Choi. Simultaneous Surgical Correction for Severe Hallux Valgus Deformity Secondary to Lessor Brachymetatarsia. Adv. Surg. Sci. 2017, 5(5), 65-68. doi: 10.11648/j.ass.20170505.12

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    AMA Style

    Byung-Ki Cho, Ji-Kang Park, Seung-Myung Choi. Simultaneous Surgical Correction for Severe Hallux Valgus Deformity Secondary to Lessor Brachymetatarsia. Adv Surg Sci. 2017;5(5):65-68. doi: 10.11648/j.ass.20170505.12

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  • @article{10.11648/j.ass.20170505.12,
      author = {Byung-Ki Cho and Ji-Kang Park and Seung-Myung Choi},
      title = {Simultaneous Surgical Correction for Severe Hallux Valgus Deformity Secondary to Lessor Brachymetatarsia},
      journal = {Advances in Surgical Sciences},
      volume = {5},
      number = {5},
      pages = {65-68},
      doi = {10.11648/j.ass.20170505.12},
      url = {https://doi.org/10.11648/j.ass.20170505.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ass.20170505.12},
      abstract = {Progression to severe hallux valgus following the second and third brachymetatarsia is a rare deformity. This condition is a challenging problem because the entire correction of hallux valgus deformity and metatarsal length discrepancy is necessary to prevent a recurrence of deformity. Metatarsal length discrepancy between the first and second ray in early adolescent patient can be aggravated with the course of time and result in a failed hallux valgus correction. Because there are few references in the literature on the operative procedures for this type of combined deformity, we report a case of 11-year-old boy treated with lesser metatarsals lengthening and the first metatarsal corrective osteotomy.},
     year = {2017}
    }
    

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    AB  - Progression to severe hallux valgus following the second and third brachymetatarsia is a rare deformity. This condition is a challenging problem because the entire correction of hallux valgus deformity and metatarsal length discrepancy is necessary to prevent a recurrence of deformity. Metatarsal length discrepancy between the first and second ray in early adolescent patient can be aggravated with the course of time and result in a failed hallux valgus correction. Because there are few references in the literature on the operative procedures for this type of combined deformity, we report a case of 11-year-old boy treated with lesser metatarsals lengthening and the first metatarsal corrective osteotomy.
    VL  - 5
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    ER  - 

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Author Information
  • Department of Orthopaedic Surgery, College of Medicine, Chungbuk National University, Cheongju, Korea

  • Department of Orthopaedic Surgery, College of Medicine, Chungbuk National University, Cheongju, Korea

  • Department of Orthopaedic Surgery, College of Medicine, Chungbuk National University, Cheongju, Korea

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