Management of fifth metatarsal head lesions by biplane osteotomy

We have been using monoplane and biplane wedge osteotomies in the management of fifth metatarsal head lesions and have revised the procedure presented by Sgarlato, Subotnick and Gerbert in that we have been utilizing distal diaphyseal dorsiflexory adductory wedge osteotomies as well as proximal diaphyseal dorsiflexory adductory wedge osteotomies. We feel that the neck wedge osteotomy offers the advantage of reduced postoperative diability and correction of pathology.