# One-Stage Technique with Calcaneal Graft for the Treatment of Brachymetatarsia: A Case Report

## TL;DR

A one-stage surgical technique using a calcaneal bone graft successfully treated brachymetatarsia in a patient, resolving pain and restoring foot function.

## Contribution

The use of a single-stage calcaneal graft for brachymetatarsia is presented as an effective and reliable surgical option.

## Key findings

- The procedure corrected the metatarsal parabola and resolved chronic metatarsalgia.
- The patient experienced full pain relief and functional recovery after the surgery.

## Abstract

Brachymetatarsia is a rare congenital anomaly characterized by the shortening of one or more metatarsals, which can lead to functional impairment, pain, and aesthetic concerns. This case report describes a 17-year-old female patient with brachymetatarsia affecting the third and fourth metatarsals of the right foot, which was unresponsive to conservative treatment and caused persistent pain while standing. To address this condition, a single-stage surgical approach was performed using an autologous calcaneal bone graft to lengthen the affected metatarsals. Additionally, the second and fifth metatarsals were shortened to restore a physiological metatarsal parabola and resolve chronic metatarsalgia. The procedure resulted in complete correction of the metatarsal parabola, full resolution of metatarsal pain, and satisfactory functional recovery. The use of an autologous calcaneal graft proved to be an effective and reliable surgical option due to its cortico-cancellous composition, high osteogenic potential, and low antigenicity. This case highlights the advantages of autologous bone grafting as a valuable technique in the surgical management of brachymetatarsia.