One-Stage Technique with Calcaneal Graft for the Treatment of Brachymetatarsia: A Case Report
Year: 2025
Type: article
Study design: Case Report
Abstract: Background/ Objectives Brachymetatarsia is a rare congenital anomaly characterised by the shortening of one or more metatarsals, which can cause functional problems, pain and aesthetic difficulties. We present the case of a 17-year-old female patient with brachymetatatarsia of the 3rd and 4th radii of the right foot, refractory to conservative treatment and with persistent pain during standing. The aim of this study is to describe an innovative surgical approach using an autologous calcaneal graft for the treatment of this pathology. Methods After evaluating all available surgical options, it was decided to perform an au-tologous calcaneal implant at the base of metatarsals 3 and 4 to increase their length. In addition, radii 2 and 5 were shortened to restore a physiological metatarsal parabola and definitively eliminate metatarsalgia. Results The procedure achieved complete correction of the metatarsal parabola. The patient experienced complete resolution of metatarsal pain and satisfactory functional recovery. The autologous calcaneal graft provided adequate support due to its cortico-cancellous composition, high osteogenic capacity and low antigenicity, making it an optimal choice in foot and ankle surgery. Conclusions Autologous calcaneal grafting has proven to be an effective and safe surgical alternative for the correction of brachymetatarsia. Its use makes it possible not only to increase the length of the affected metatarsals but also to de-finitively resolve metatarsalgia, improving the quality of life of patients with this pathology. This case highlights the usefulness of autologous grafts in reconstructive procedures of the foot, due to their structural and biological advantages.
Source: Medicina
Institution: Universidad de Sevilla
Language: English
Topic: Foot and Ankle Surgery
Subfield: Orthopedics and Sports Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $2,654
OpenAlex ID: W4408408166