{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T11:15:16Z","timestamp":1783509316183,"version":"3.55.0"},"reference-count":15,"publisher":"MDPI AG","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:p>Brachymetatarsia is characterized by the parabola formed through the articulation of the metatarsophalangeal joints of the toes. It is defined as the termination of one or more metatarsals at least 5 mm proximal to this parabola, most commonly affecting the fourth metatarsal. Surgical interventions for brachymetatarsia include osteotomy followed by either acute distraction with grafting or gradual lengthening via distraction osteogenesis. In limb-lengthening procedures involving long bones of the lower extremity, an external fixator in conjunction with an intramedullary nail is commonly used. The combination of an elastic intramedullary nail with an external fixator allows for precise alignment while reducing the duration of external fixation. This technique underscores the significance of maintaining the correct vector an deplane of extension to ensure proper anatomical alignment of the metatarsal.<\/jats:p>","DOI":"10.7547\/23-030","type":"journal-article","created":{"date-parts":[[2025,4,25]],"date-time":"2025-04-25T10:07:03Z","timestamp":1745575623000},"source":"Crossref","is-referenced-by-count":0,"title":["Metatarsal Lengthening With Monolateral External Fixator Using Intramedullary Kirschner Wire in Brachymetatarsia Surgery"],"prefix":"10.3390","volume":"115","author":[{"given":"Ali","family":"Y\u00fcce","sequence":"first","affiliation":[{"name":"Department of Orthopedics and Traumatology, Prof. Dr. Cemil Ta\u015fc\u0131o\u011flu City Hospital, Istanbul, Turkey."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mustafa","family":"Yerli","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Traumatology, Prof. Dr. Cemil Ta\u015fc\u0131o\u011flu City Hospital, Istanbul, Turkey."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdurrahman","family":"Vural","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Traumatology, Medicana Kad\u0131k\u00f6y Hospital, Istanbul, Turkey."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naz\u0131m","family":"Erkurt","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Traumatology, Prof. Dr. Cemil Ta\u015fc\u0131o\u011flu City Hospital, Istanbul, Turkey."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","reference":[{"key":"B1","series-title":"EFORT Open Rev","first-page":"15","article-title":"Brachymetacarpia and brachymetatarsia: do we need to operate?","volume":"6","author":"Barik S","year":"2021","unstructured":"Barik S, Farr S: Brachymetacarpia and brachymetatarsia: do we need to operate? 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Foot Ankle Int 39: 942, 2018."},{"key":"B4","series-title":"Case Rep Orthop","first-page":"8253096","article-title":"Brachymetatarsia: surgical management, case report, and literature review","volume":"2022","author":"Zhu D","year":"2022","unstructured":"Zhu D, Lef\u00e8vre M, Fernandez A, et al: Brachymetatarsia: surgical management, case report, and literature review. Case Rep Orthop 2022: 8253096, 2022."},{"key":"B5","series-title":"Acta Orthop","first-page":"220","article-title":"How to avoid complications of distraction osteogenesis for first brachymetatarsia","volume":"80","author":"Lee KB","year":"2009","unstructured":"Lee KB, Yang HK, Chung JY, et al: How to avoid complications of distraction osteogenesis for first brachymetatarsia. 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Foot Ankle Surg 25: 113, 2019."},{"key":"B8","series-title":"J Foot Ankle Surg","first-page":"197","article-title":"Percutaneous distraction osteogenesis for treatment of brachymetatarsia","volume":"49","author":"Lamm BM","year":"2010","unstructured":"Lamm BM: Percutaneous distraction osteogenesis for treatment of brachymetatarsia. J Foot Ankle Surg 49: 197, 2010."},{"key":"B9","series-title":"J Surg Case Rep","first-page":"rjy269","article-title":"Distraction osteogenesis for brachymetatarsia using initial circular fixator and early trans-fixation metatarsal K-wires\u2014a series of three cases\u2020","volume":"2018","author":"Kumar P","year":"2018","unstructured":"Kumar P, Pillai A, Bate JA, et al: Distraction osteogenesis for brachymetatarsia using initial circular fixator and early trans-fixation metatarsal K-wires\u2014a series of three cases\u2020. 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