Abstract
Introduction
There have been many operations documented for the treatment of hallux valgus and fifth metatarsal bunionette deformities in patients with splay foot carried out separately, with variable success rates. Our aim was to assess the radiological outcome following combined chevron osteotomy of the first and reverse chevron osteotomy of the fifth metatarsal in symptomatic patients with splay foot. To our knowledge, this procedure has not been described in the literature.
Methods
Nine symptomatic patients (12 feet) were included in the study. The preoperative and postoperative angles were assessed on weight-bearing radiographs for statistical significance using non-parametric paired t tests.
Results
The postoperative hallux valgus angles, intermetatarsal angles, first and fifth metatarsal head widths, and maximum distance between the first and fifth metatarsal heads decreased significantly (p < 0.05).
Conclusion
The results suggest a very good radiological outcome in symptomatic patients following simultaneous first and fifth metatarsal osteotomies. All the angles measured postoperatively, except the distal metatarsal articular angle, showed a statistically significant reduction.