Nineteen distal chevron metatarsal osteotomy operations were performed in 13 patients with painful bunionette. The average duration of follow-up was 7.1 years. Mean forefoot score improved from 35.8 points to 73.9 points out of a possible 75 points. Intermetatarsal 4–5 angle, metatarsophalangeal 5 angle, and forefoot width improved significantly. Overall results were considered good in 17 feet and fair in 2; there were no failures. Complications were transfer metatarsalgia (1 foot) and wound infection (1 foot). Distal chevron fifth metatarsal osteotomy is effective treatment for symptomatic bunionette.
Get full access to this article
View all access options for this article.
References
1.
. AustinD.W.LeventenE.O.: A new osteotomy for hallux valgus: a horizontally directed “V” displacement osteotomy of the metatarsal head for hallux valgus and primus varus. Clin. Orthop., 157:25–30, 1981.
2.
. BishopJ.KahnA.HiTurbaJ.E.: Surgical correction of the splayfoot: the Giannestras procedure. Clin. Orthop., 146:234–238, 1980.
3.
. BrownJ.E.: Functional and cosmetic correction of metatarsus latus (splay foot). Clin. Orthop., 14:166–170, 1959.
4.
. DaviesH.: Metatarsus quintus valgus. Br. Med. J., 1:664–665, 1949.
5.
. DieboldP.E.BejjaniF.J.: Basal osteotomy of the fifth metatarsal with intermetatarsal pinning, a new approach to tailor's bunion (abstract). Foot Ankle, 6: 320–321, 1986.
6.
. DuVriesH.L.: Surgery of the Foot, 2nd Ed. St. Louis, C. V. Mosby, 1965, p. 460.
7.
. GiannestrasN.J.: Foot Disorders: Medical and Surgical Management, 2nd Ed. Philadelphia, Lea & Febiger, 1973, pp. 420–421.
8.
. HohmannG.: Fuss und Bein, ihre Erkrankungen und deren Behandlung; ein Lehrbuch, 5th Ed. Berlin, Bergmann, 1951, p. 145.
. LeLièvreJ.: Exostosis of the head of the fifth metatarsal bone, Tailor's bunion. LeConcours Med., 78:4815–4816, 1956.
15.
. LeLiévreJ.: Pathologie du pied; physiologie, Clinique, traitement médical, orthopédique et chirurgical, 4th Ed. Paris, Masson Editeur, 1971, pp. 526–528.
16.
. MannR.A.: Surgery of the Foot: A Memory of Henri L. DuVries and Verne T. Inman, 5th Ed. St. Louis, C. V. Mosby, 1986, p. 195.
17.
. MargoM.K.: Surgical treatment of conditions of the fore part of the foot. J. Bone Joint Surg., 49A: 1665–1674, 1967.
18.
. McKeeverD.C.: Excision of the fifth metatarsal head. Clin. Orthop., 13: 321–322, 1959.
19.
. NestorB.J.KitaokaH.B.BergmannA.: Radiologic anatomy of the painful bunionette (abstract). Orthop. Trans., 13:631, 1989.
20.
. SponselK.H.: Bunionette correction by metatarsal osteotomy: preliminary report. Orthop. Clin. North Am., 7:809–819, 1976.
21.
. SteelM.W.IIIJohnsonK.A.DeWitzM.A.LlstrupD.M.: Radiographic measurements of the normal adult foot. Foot Ankle, 1:151–158, 1980.
22.
. SteinkeM.S.BollK.L.: Hohmann-Thomasen metatarsal osteotomy for tailor's bunion (bunionette). J. Bone Joint Surg., 71A:423–426, 1989.
23.
. ThrockmortonJ.K.NicholasB.: Transverse V sliding osteotomy: a new surgical procedure for correction of tailor's bunion deformity. J. Foot Surg., 18:117, 1978.
24.
. YanceyH.A.Jr.: Congenital lateral bowing of the fifth metatarsal: report of two cases and operative treatment. Clin. Orthop., 62:203–205, 1969.
