Long oblique distal osteotomy of the fifth metatarsal for correction of tailor's bunion: a retrospective review.
A long-term retrospective review of a long oblique distal osteotomy of the fifth metatarsal for correction of a tailor's bunion deformity is presented. The technique, results, and follow-up of this procedure are described. The long oblique distal osteotomy was performed on 25 feet on 16 patients. Follow-up ranged from 11 to 110 months with an average of 64.4 months. The average preoperative intermetatarsal 4-5 angle and lateral deviation angle improved from 10.88 degrees and 4.24 degrees, respectively, to 5.52 degrees and -4.24 degrees postoperatively, respectively. A modified scoring scale for lesser metatarsal procedures was used, showing an average postoperative score of 94 out of 100 possible points. Subjectively, 96% (24 of 25) of feet that underwent surgery were rated as excellent or good. Complications included one patient with paresthesias, one soft-tissue infection, and 2 patients had irritation from screws. The authors conclude that the long oblique distal osteotomy is a viable alternative in the correction of tailor's bunion deformity.
London
Barry P
BP
Northern Virginia Podiatric Residency Program/Inova Fairfax Hospital, Vienna, USA.
Stern
Stephen F
SF
Quist
Mark A
MA
Lee
Robert K
RK
Picklesimer
Edison K
EK
D000293:Adolescent; D000328:Adult; D005260:Female; D006215:Hallux Valgus / Q000601:surgery*; D006801:Humans; D008297:Male; D008682:Metatarsal Bones / Q000601:surgery*; D010027:Osteotomy / Q000009:adverse effects / Q000379:methods*; D012189:Retrospective Studies