Our office does take care of brachymet. 

As you know, brachymet is a shortened metatarsal bone located just behind the toe joints. 

From a surgical standpoint, we make a “cut” in the short metatarsal and apply an external fixator.  Over time, we make adjustments to the external fixator to slowly lengthen the metatarsal out to the desired length.  The process is called “callus distraction.”  Once we achieve the desired length, the external fixator is removed and we slowly allow you to transition to weight bearing. 

I hope this answers your question.

Dr. Griffith