Brachymetatarsia typically presents multiple challenges to the surgeon. These may include the overall lack of width to the metatarsal, a shorted proximal phalanx in addition to the short metatarsal and, in some cases, multiple short metatarsals. Once it is decided to proceed with callus distraction, there are many options to from which to choose (see all current options).
Above is the Wright Medical Coretrak Tube Fixator in action. This mini external fixator is a little more bulky than some of the other fixators on the market and can be a little overwhelming to the patient at the first post-operative dressing change (then again, most external fixators have that affect on patients). The robust nature to this construct, however, offers stability and patient friendly manipulations. There are no small parts that require assembly and the guide holes within the fixator aids the surgeon for insertion of the fixator post. If you haven't yet given this mini fixator a try, consider it on your next brachymetatarsia case.
