title: Subcapital oblique osteotomy for correction of bunionette deformity: medium-term results.
abstract: BACKGROUND
  Many procedures have been described for correction of bunionette deformity. For symptomatic type I deformity, the authors have routinely performed a subcapital oblique osteotomy of the fifth metatarsal. The purpose of this study was to report the medium-term results of this procedure.
  
  
  METHODS
  This is a retrospective review of patients who underwent subcapital oblique osteotomy for correction of type I bunionette deformity. Patients were evaluated radiographically and clinically. Sixteen feet in 14 patients were available at final follow-up.
  
  
  RESULTS
  At a mean 2.9-year follow-up, 88% of patients had good or excellent clinical result, 88% of patients had no limitation in activity, and mean pain score on a visual analog scale was 1.6 out of 10. Radiographically, a statistical difference was found when we compared the preoperative and 6-week follow-up fifth metatarsophalangeal angle; however, no statistical difference was found in the fourth to fifth intermetatarsal angle at any time or in comparison of the preoperative and final follow-up fifth metatarsophalangeal angles.
  
  
  CONCLUSIONS
  We found the subcapital oblique osteotomy of the fifth metatarsal to provide reliable clinical results for correction of painful type I bunionette deformity.
  
  
  METHODS
  Level IV, retrospective case series.
authors: Tuckahoe Orthopaedic Associates, Richmond, VA, USA.
authors: Minton Truitt
authors: MT
authors: Cooper
authors: Michael J
authors: MJ
authors: Coughlin
mesh_terms: D000328:Adult; D050489:Bunion, Tailor's / Q000601:surgery*; D003286:Contracture / Q000601:surgery; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010027:Osteotomy / Q000379:methods*; D012189:Retrospective Studies; D016896:Treatment Outcome
keywords: Taylor’s bunion; Weil osteotomy; bunionette; forefoot; osteotomy