Reconstruction of extensive bone loss of the first metatarsal with osteodistraction and homologous graft in an immature skeleton: case report

Reconstruction of extensive bone loss in the foot requires a set of strategies involving various surgical techniques and orthopedic devices. Semicircular Ilizarov external fixator combined with a structural homologous bone graft may be advantageous in pediatric patients. This case report describes the technique of reconstructing an extensive bone loss of the first metatarsal with osteodistraction and homologous graft in an immature skeleton. The combination of the external fixator and the homologous graft provided sufficient bone volume without recurrent infection, minimal complications, substantial length gain of the metatarsal bone, and improved soft tissue conditions. It is a viable treatment option for severe foot injuries in immature skeletons. Level of Evidence V, Therapeutic Studies, Expert Opinion.