title: Percutaneous bunionette correction.
abstract: BACKGROUND
  Treatment of tailor's bunion is largely conservative. For severe or refractory cases surgical intervention is necessary. The aim of this study is to evaluate a percutaneous technique for correcting such bunionette deformities.
  
  
  METHODS
  Twenty-one procedures were performed on 20 patients using a percutaneous technique. Patients were scored using the American Orthopaedic Foot & Ankle Society (AOFAS) Lesser Toe Metatarsophalangeal-Interphalangeal Scale.
  
  
  RESULTS
  No wound healing problems, infections, non-unions or mal-unions occurred. Functional assessments revealed very good results. Radiographic evaluation confirmed good average correction of the fourth-fifth intermetatarsal angle and metatarsophalangeal angle.
  
  
  CONCLUSIONS
  This percutaneous technique is a reliable and effective approach for the treatment of bunionette deformity. The results obtained were comparable to those reported using traditional open techniques, but major complications due to soft tissue damage were averted. This technique can be adapted depending on the type of deformity, and does not require internal fixation.
authors: Orthopaedic Department, AZ Groeninge Kortrijk, Burg Vercruysselaan 5, 8500 Kortrijk, Belgium. frederick_michels@hotmail.com
authors: Frederick
authors: F
authors: Michels
authors: Jan
authors: J
authors: Van Der Bauwhede
authors: Stéphane
authors: S
authors: Guillo
authors: Dirk
authors: D
authors: Oosterlinck
authors: Christophe
authors: C
authors: de Lavigne
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D050489:Bunion, Tailor's / Q000000981:diagnostic imaging / Q000601:surgery; D002648:Child; D005260:Female; D006801:Humans; D008297:Male; D008682:Metatarsal Bones / Q000000981:diagnostic imaging / Q000601:surgery*; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000379:methods*; D011859:Radiography; D055815:Young Adult