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Brachymetatarsia

INTRO
CAUSES
SYMPTOMS
DIAGNOSIS
TREATMENTS OPTIONS
COMPLICATIONS
ORTHOFIX SOLUTIONS

Brachymetatarsia

Brachymetatarsia is a rare congenital foot condition where there is one or more abnormally short toe bones (metatarsals). It more frequently involves the fourth metatarsals, but any of the five metatarsals can be affected. The condition occurs when the metatarsal fails to develop normally, resulting in what appears to be a short toe. The condition affects females more than males. 15

Brachymetatarsia

Causes

If congenital, brachymetatarsia is related to several genetic conditions such as Down’s, Turner’s, Aarskog’s, Albright’s and Larson’s syndromes, parathyroid alterations such as pseudohypoparathyroidism, and diseases such as osteodystrophy, diastrophic dysplasia among other conditions. It may also be caused by the maternal ingestion of thalidomide during pregnancy. If acquired later in life, it can be the consequence of a trauma. 16,17

Symptoms

Pain and deformity are common symptoms, but a frequent concern is cosmetic. 15

The involved toe usually loses contact to the ground when weightbearing and consequently can cause impairment in the normal distribution of weight in the foot. In addition, there is a soft tissue imbalance that may lead to metatarsalgia and callosities, causing discomfort when wearing shoes. 16

Diagnosis

The doctor’s physical exam and an X-ray will diagnose the disorder.

Treatment Options

Non-surgical treatments include wearing larger shoes or padding around the toes to relieve pressure.

While some patients have aesthetic or cosmetic concerns about the appearance of the short toe, others will experience pain and discomfort with shoes and walking. Surgery is generally recommended to treat pain and discomfort that affect a patient’s function.

Several lengthening techniques can be performed. For metatarsals that need to be lengthened up to 10mm, a single-stage lengthening procedure using a biologic or synthetic bone graft is available. For metatarsals that require greater length to achieve proper correction, gradual lengthening (distraction osteogenesis) is recommended as it allows lengthening the soft tissue as well. In these cases, the use of an external fixator is recommended. The device is fixed to the metatarsal with pins and designed to gradually lengthen the bone. After surgery, crutches or a knee scooter can be used to off load the weight from the repaired foot.

Complications

Some complications related to distraction osteogenesis include digital contracture, stiffness of the joint, pin site infection, angular deformity, scars and loss of length of the regenerated bone and refracture. 19

Post-surgical complications occur more frequently when more than 40% of the length is achieved. 20

MiniRail

Important safety information: Download the Product Instructions For Use.

The MiniRail External Fixation System consists of small rails and screws for fixation of small bones when a condition does not allow for implanting internal devices. The MiniRail is designed to help with a variety of deformity corrections and lengthening procedures of small bones and joints in the foot and upper limb.

KNOW MORE
15. Schimizzi A, Brage M 2004. Brachymetatarsia. Foot Ankle Clin; 9(3):555-70.
16. American College of Foot and Ankle Surgeon. Brachymetatarsia. www.foothealthfacts.org
17. El-Feky M, Dixon A et al. Brachymetatarsia. www.radiopaedia.org (rID: 15173).
18. Munuera Martínez PV, Lafuente Sotillos G et al. 2004. Morphofunctional Study of Brachymetatarsia of the Fourth Metatarsal. J Am Podiatr Med Assoc; 94(4):347-52.
19. Lamm BM, Gourdine-Shaw MC. 2010. Problems, obstacles, and complications of metatarsal lengthening for the treatment of brachymetatarsia. Clin Podiatr Med Surg; 27(4):561-82.
20. Hamada M, Sakamoto Y et al. 2016. Treatment of Complications after Distraction Osteogenesis for Brachymetatarsia of the Fourth Metatarsal. Plast Reconstr Surg Glob Open; 4(7):e817.
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ORTHOFIX SOLUTIONS

The Agile Nail is intended for insertion in the medullary canal of a femur for the alignment and the stabilization of fractures and for the correction of deformities. It is indicated for the treatment of subtrochanteric fractures and of femoral shaft fractures, in pediatric patients, with the exception of newborns and infants, and in adult patients with an appropriate medullary canal. The indications include:

  • Prophylactic nailing of impending pathologic fractures;
  • Fixation of femurs that have been surgically prepared (osteotomy);
  • Non-unions and malunions;
  • Reconstruction following tumor resection and grafting and bone lengthening and shortening.

The Orthofix Ankle Hindfoot Nailing (AHN) System is intended to facilitate tibiotalocalcaneal arthrodesis (fusion). Specific indications include:

  • Avascular necrosis of the talus
  • Failed total ankle arthroplasty
  • Trauma (malunited tibial pilon fracture)
  • Severe deformity or instability as a result of talipes equinovarus, cerebral vascular accident, paralysis or other neuromuscular disease
  • Revision ankle arthrodesis
  • Neuroarthropathy
  • Rheumatoid arthritis
  • Osteoarthritis
  • Pseudoarthrosis
  • Post-traumatic arthrosis
  • Previously infected arthrosis
  • Charcot foot
  • Severe endstage degenerative arthritis
  • Severe defects after tumor resection
  • Pantalar arthrodesis

INTENDED PURPOSE
The Guided Growth Plate Systems are plates intended to provide bone fixation.

INDICATIONS FOR USE
The Guided Growth Plate Systems are indicated for gradually correcting deformities of long bones in growing children. Specific acquired or congenital patterns of bone deformity for which the device will be indicated include:
• Valgus, varus or flexion, extension deformities of the knee (femur and/or tibia);
• Valgus, varus, or plantar flexion deformities of the ankle.

Fitbone is an intramedullary lengthening system for limb lengthening of the femur and tibia.

The G-Beam Fusion Beaming System is intended to be inserted in the bones of the foot and ankle for alignment, stabilization and fixation of various fractures and osteotomies, fusions and reconstructions. It is indicated for fracture and osteotomy fixation, reconstruction procedures, non-unions and fusions of bones of the foot and ankle including metatarsals, cuneiforms, cuboid, navicular, calcaneus and talus. Specific example: medial and lateral column fusions resulting from neuropathic osteoarthropathy (Charcot osteoarthropathy).

The JuniOrtho Plating System is indicated for internal fixation and stabilization of femoral and tibial fractures, osteotomies, mal-unions and non-unions. Indications include:

  • Varus, valgus, rotational and/or shortening osteotomies
  • Femoral neck and/or pertrochanteric fractures
  • Proximal and distal metaphyseal fractures
  • Pathological and impeding pathological fractures

Use of the JuniOrtho Plating System is indicated in pediatric (excluding newborns) and small stature adult patients.

Indications:

  • Short Stature
  • Bone loss
  • Open fractures​
  • Non-union
  • Angular deformities

Indications:

  • Metacarpal and metatarsal lengthening
  • Calcaneal lengthening
  • Pediatric forearm lengthening
  • Metacarpal, metatarsal and phalangeal lengthening
  • Joint arthrodesis
  • Joint stiffness; Comminuted intra-articular fractures
  • Soft tissue correction in patients with neurological disorders (e.g. cerebral palsy)
  • Arthrodesis of the 1st carpo-metacarpal joint following soft tissue correction
  • Complex upper extremity deformities
  • Hand contractures
  • Wrist contractures
  • Indicated for pediatrics through adult

INTENDED PURPOSE

The SOLE™ Medial Column Fusion Plate (SOLE MCF) is intended to provide bone fixation.

INDICATIONS FOR USE

The SOLE MCF is indicated for orthopedic applications within the anatomical area of the foot and ankle, including but not limited to the medial column (consisting of the first metatarsal, medial cuneiform, navicular and talus). Specific indicated procedures include:

  • Arthrodesis
  • Joint depression stabilization
  • Fracture and/or osteotomy fixation
  • Reconstruction
  • Revision

to be performed for conditions such as Charcot neuroarthropathy.

The TL-HEX system is intended for limb lengthening by metaphyseal or epiphyseal distractions, fixation of open and closed fractures, treatment of non-union or pseudoarthrosis of long bones and correction of bony or soft tissue defects or deformities.

INDICATIONS:

  • Fractures
  • Non-unions/ malunions
  • Limb lengthening
  • Deformity corrections
  • For pediatrics, the same indications apply provided a growth plate is not compromised

“www.limbhealing.com”
This website is for educational purposes only and is not a substitute for a consultation with your physician or health care professional. The information provided herein is a service and should be viewed only as opinion. The information contained herein has been obtained from sources deemed ethical and reliable, but completeness is not guaranteed.

ALWAYS SEEK THE ADVICE OF YOUR PHYSICIAN OR OTHER QUALIFIED HEALTH CARE PROFESSIONAL ABOUT DIAGNOSIS AND TREATMENT INFORMATION.

This site is intended for U.S. patients and their caregivers.

CONTACT

ORTHOFIX MEDICAL INC.
3451 Plano Parkway
Lewisville, TX 75056
USA

Phone: 214.937.2000
Email: [email protected]

Full prescribing information can be found in product labeling.

Caution: Federal law (USA) restricts this device to sale by or on the order of a physician.

© 2022 Orthofix Srl
Agile Nail™, Ankle Hindfoot Nailing System™, eight-Plate Guided Growth System™, eight-Plate Guided Growth System+™, Fitbone™, G-Beam™, JuniOrtho™ Plating System, LRS Advanced™, Minirail™, SOLE™ Medial Column Fusion Plate, TL-HEX TrueLok Hexapod System™ are trademarks or registered trademarks of Orthofix S.r.l. TrueLok is a trademark or registered trademark exclusively licensed to Orthofix Medical Inc., and its affiliate companies. The relevant short forms, as indicated in brackets next to each registered trademark, are also used alone as distinctive signs in the name and on behalf of Orthofix S.r.l. and are protected in accordance with the provisions set by the local Intellectual Property law.