Transosseus osteosynthesis method in treatment of congenital brachymetatarsia

Purpose. To develop original technology for treatment of congenital brachymetatarsy cases. Materials and Methods. The results of using the modified technique of controlled transosseous osteosynthesis according to Ilizarov for treatment of congenital brachymetatarsy cases presented by exemplifying of 10 patients (18 feet). Results. The proposed technique allows controlling distraction direction, and it is very important for metatarsalgy treatment. The wire inserted antegradely used in this technique precludes dislocation in the metatarsophalangeal in case of lengthening more than by 40% of initial length. Conclusion. The developed complex of the technique approaches allows providing high effectiveness of the Ilizarov fixator in lengthening of brachymetatarsy. The technique accessibility and simplicity allow to recommend it for widespread use.