title: Bunionette.
abstract: OBJECTIVE
  The purpose of this study is to review the most recent literature available on the treatment of bunionette (also named tailor's bunion) with percutaneous and minimally invasive techniques. Focusing especially on clinical outcomes, studies related to this type of techniques were examined in order to evaluate the success of this practice that is, fusion rate and complications. The hypothesis is that these techniques are safe and successful procedures.
  
  
  METHODS
  In July 2015, a topical review of the PubMed/MEDLINE, EMBASE, and Google Scholar databases was conducted using the keywords percutaneous (OR mini-invasive OR minimally invasive) AND bunionette (OR tailor's bunion) AND treatment (OR surgery). Studies reporting the outcomes of the surgical treatment of bunionette were also included in our review.
  
  
  RESULTS
  The search yielded a total of 111 publications from PubMed/MEDLINE, EMBASE, and Google Scholar. After evaluating abstracts and full-text reviews, 9 articles were included in this review. Treatment methods were divided into 2 main surgical treatment categories: with or without fixation of the osteotomy. The most commonly used technique was that with fixation. The scores of success for techniques with and without fixation were 93.5 and 97.8, respectively.
  
  
  CONCLUSIONS
  The current evidence for the treatment of bunionette deformity is limited to retrospective case series. Therefore, no conclusion can be made regarding the gold standard technique for bunionette deformity. The results published are very satisfactory, but the literature is still poor.
  
  
  METHODS
  IV: Topical review.
authors.affiliation: Department of Orthopaedics and Traumatology, S M Misericordia Hospital, University of Perugia, Perugia, Italy.
authors.forename: Paolo
authors.initials: P
authors.lastname: Ceccarini
authors.affiliation: Department of Orthopaedics and Traumatology, S M Misericordia Hospital, University of Perugia, Perugia, Italy.
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Rinonapoli
authors.affiliation: Department of Orthopaedics and Traumatology, S M Misericordia Hospital, University of Perugia, Perugia, Italy.
authors.forename: Andrea
authors.initials: A
authors.lastname: Nardi
authors.affiliation: Department of Orthopaedics and Traumatology, S M Misericordia Hospital, University of Perugia, Perugia, Italy.
authors.forename: Michele
authors.initials: M
authors.lastname: Bisaccia
authors.affiliation: Department of Orthopaedics and Traumatology, S M Misericordia Hospital, University of Perugia, Perugia, Italy.
authors.forename: Lorenzo Maria
authors.initials: LM
authors.lastname: Di Giacomo
authors.affiliation: Department of Orthopaedics and Traumatology, S M Misericordia Hospital, University of Perugia, Perugia, Italy.
authors.forename: Auro
authors.initials: A
authors.lastname: Caraffa
mesh_terms: D000328:Adult; D000368:Aged; D050489:Bunion, Tailor's / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000379:methods*; D010027:Osteotomy / Q000379:methods*; D010149:Postoperative Pain / Q000453:epidemiology / Q000503:physiopathology; D020127:Recovery of Function / Q000502:physiology; D018570:Risk Assessment; D012720:Severity of Illness Index; D016896:Treatment Outcome
keywords: bunionette; forefoot surgery; metatarsal osteotomy; minimally invasive; percutaneous; tailor’s bunion