title: Chevron osteotomy of lesser metatarsals for intractable plantar callosities.
abstract: We performed distal chevron osteotomy of the second, third, or fourth metatarsal for painful plantar callosities in 19 non-rheumatoid patients (16 women, 3 men; 21 feet); their mean age was 59 years (32 to 85). The mean follow-up was four years (2 to 7). The overall results were good in 16 feet, fair in two, and poor in three, with four patients still having painful plantar callosities. There was union in all feet, but transfer metatarsalgia developed in three and three required an orthosis. Distal chevron osteotomy for intractable plantar callosities was successful both clinically and radiologically in most patients.
authors.affiliation: Department of Orthopaedics, Mayo Clinic and Mayo Foundation, Rochester, Minnesota 55905, USA.
authors.forename: H B
authors.initials: HB
authors.lastname: Kitaoka
authors.forename: G L
authors.initials: GL
authors.lastname: Patzer
mesh_terms: D000203:Activities of Daily Living; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002145:Callosities / Q000601:surgery*; D005260:Female; D005533:Foot Dermatoses / Q000601:surgery*; D006801:Humans; D008297:Male; D008682:Metatarsal Bones / Q000000981:diagnostic imaging / Q000601:surgery*; D008875:Middle Aged; D009989:Orthotic Devices; D010027:Osteotomy / Q000009:adverse effects / Q000379:methods*; D010146:Pain / Q000601:surgery; D010149:Postoperative Pain / Q000209:etiology; D011859:Radiography; D012086:Reoperation; D012775:Shoes; D016896:Treatment Outcome; D014945:Wound Healing