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FIGURE 84.64
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Brachymetatarsia disrupts normal parabolic arc of metatarsal heads. A, Normal toe-tip and metatarsal head parabolas (dotted lines). B, Disruption with brachymetatarsia of first metatarsal. C, Disruption with brachymetatarsia of fourth metatarsal. Distance marked “A” represents length needed to obtain ideal parabola.

出典

img 1:  From Lee KB, Park HW, Chung JW, et al: Comparison of the outcomes of distraction osteogenesis for first and fourth brachymetatarsia, J Bone Joint Surg 92A:2709, 2010.