A Modified Deformity Correction Method for Congenital Brachymetatarsia of Bilateral Fourth Toe Using an External Fixator

The modified technique combining external rail fixators and trans-articular K-wire stabilization effectively corrected bilateral fourth metatarsal brachymetatarsia. It provided enhanced joint stability during distraction and minimized complications, such as MTPJ subluxation. This approach may be preferred in cases requiring gradual lengthening with structural joint protection.