Bilateral Staged Distraction Osteogenesis of the Fourth Metatarsal With Biplanar First Metatarsal… | ScholarDeck

Paper

Bilateral Staged Distraction Osteogenesis of the Fourth Metatarsal With Biplanar First Metatarsal Osteotomies in an Adolescent Athletic Patient: A Case Report.

New research · Orthopedics

Foot & ankle specialist · 3w

StudyFoot & ankle specialist· Jul 2026

Bilateral Staged Distraction Osteogenesis of the Fourth Metatarsal With Biplanar First Metatarsal Osteotomies in an Adolescent Athletic Patient: A Case Report.

Grady Edens, Cameron Merryman, Joel P White, Travis Winston

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Foot & AnkleStudyTreatmentQ2IF 1.7

Combined staged surgery corrected bilateral hallux valgus and short fourth metatarsal in a teen

Bilateral Staged Distraction Osteogenesis of the Fourth Metatarsal With Biplanar First Metatarsal Osteotomies in an Adolescent Athletic Patient: A Case Report.

Grady Edens … Travis Winston

Foot & ankle specialist · Jul 2026 · Q2 in Orthopedics

Background

Congenital fourth-ray brachymetatarsia and juvenile hallux valgus are rare forefoot deformities that, when coexisting, may amplify biomechanical dysfunction, pain, and footwear intolerance, particularly in adolescent athletic patients.

13.5

Results

13.5

planned 13.5 mm of new bone to restore normal metatarsal length

More results

Both feet achieved successful correction of hallux valgus and restoration of fourth-ray length with radiographic confirmation.

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Conclusion · 1 of 2

This case demonstrates that staged biplanar first metatarsal osteotomy combined with fourth metatarsal distraction osteogenesis can safely and effectively restore forefoot alignment and function in adolescents with coexisting hallux valgus and brachymetatarsia.

Conclusion · 2 of 2

This combined strategy offers a viable treatment pathway for complex bilateral forefoot deformities in young active patients.

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