title: Long oblique distal osteotomy of the fifth metatarsal for correction of tailor's bunion: a retrospective review.
abstract: 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.
authors.affiliation: Northern Virginia Podiatric Residency Program/Inova Fairfax Hospital, Vienna, USA.
authors.forename: Barry P
authors.initials: BP
authors.lastname: London
authors.forename: Stephen F
authors.initials: SF
authors.lastname: Stern
authors.forename: Mark A
authors.initials: MA
authors.lastname: Quist
authors.forename: Robert K
authors.initials: RK
authors.lastname: Lee
authors.forename: Edison K
authors.initials: EK
authors.lastname: Picklesimer
mesh_terms: 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