Podiatric Surgery Gallery
Foot bone elongation for brachymetatarsia
Patient of Mr Tony Wilkinson: This is a 25-year-old female with brachymetatarsia of the 4th metatarsal. She underwent a 1 stage procedure where the bone is elongated using an external fixator and a small bone graft taken from the heel. It is then fixed with a plate and screws which stay in forever. This procedure takes 10 weeks to recover from.
Patient of Mr Tony Wilkinson: This 24-year-old female was affected by brachymetatarsia of the 3rd and 4th metatarsals, a rare congenital deformity with a female to male ratio of 25:1. It usually only affects the 4th metatarsal and may affect only one foot or both feet.
This patient underwent a procedure known as distraction osteogenesis (bone lengthening). This involves using an external fixator which the patient slowly lengthens to increase length of the bone. The whole procedure takes around 4 months to complete.