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This pain was the indication for surgical lengthening of the metatarsals of the 4th ray on both sides.",[],[339],"lg:col-span-6",{"_uid":341,"image":342,"title":345,"component":346,"copyright":8,"image_style":347,"component_style":348},"681b5e04-476c-4569-bb0a-6e5d6fa49476",{"id":343,"alt":8,"name":8,"focus":109,"title":8,"filename":344,"copyright":8,"fieldtype":10},1895561,"https:\u002F\u002Fa.storyblok.com\u002Ff\u002F56859\u002F1132x1132\u002F938f772f8f\u002Fcase12_1.jpg","4th beam shortened on both sides","Image",[],[349],"col-span-3",{"_uid":351,"image":352,"title":355,"component":346,"copyright":8,"image_style":356,"component_style":357},"3bb80328-fb66-4beb-a733-4e2ba385100e",{"id":353,"alt":8,"name":8,"focus":109,"title":8,"filename":354,"copyright":8,"fieldtype":10},1895565,"https:\u002F\u002Fa.storyblok.com\u002Ff\u002F56859\u002F1655x1655\u002F7c2a78793a\u002Fcase12_2.jpg","The metatarsal heads of both feet are not in a row",[],[349],{"_uid":359,"text":360,"component":326,"text_style":361,"component_style":362},"eb1da6c7-dc84-492b-abdb-78b765d5dfe3","## Treatment",[],[],{"_uid":364,"text":365,"component":326,"text_style":366,"component_style":367},"85c2666a-9630-473a-9800-a2c7754d108c","Since metatarsals have a diameter of only a few millimeters, a new type of extremely small minifixator was used to lengthen each metatarsal by 25 mm. 1 week after surgery, lengthening started at 1 mm\u002Fday to allow new bone to form in the distraction gap. To reduce the time of external fixation, a small platelet was attached to each metatarsal after lengthening was completed, protecting the newly formed regenerate and allowing the patient to increase weight bearing early. To ensure mobility at all times during the treatment, a side-to-side approach was chosen.",[],[],{"_uid":369,"text":370,"component":326,"text_style":371,"component_style":372},"75a9216b-8232-4f4d-9871-f9324b0f878f","## Result",[],[],{"_uid":374,"text":375,"component":326,"text_style":376,"component_style":377},"9832b659-b65c-47f6-84aa-593c21228051","After the fixators were removed, normal shoes could be worn again. Physiotherapy and walking exercises increasingly normalized the rolling motion. 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