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Updated: Jul 9, 2026

Creating Rigidly Stabilized Fractures for Assessing Intramembranous Ossification, Distraction Osteogenesis, or Healing of Critical Sized Defects
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Structural metatarsus adductus deformity, surgical case report.

D E Marcinko, H R Hetico

    The Journal of Foot Surgery
    |November 1, 1992
    PubMed
    Summary
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    Surgical correction of structural metatarsus adductus involves closing abductory wedge osteotomies of the metatarsals. Severe cases may also require an opening wedge osteotomy of the cuneiform with bone grafting.

    Area of Science:

    • Orthopedic surgery
    • Pediatric orthopedics
    • Foot and ankle surgery

    Background:

    • Metatarsus adductus is a common congenital foot deformity.
    • Severe cases can lead to functional limitations and require surgical intervention.
    • Current surgical techniques aim to correct the deformity and improve foot function.

    Purpose of the Study:

    • To present surgical techniques for correcting structural metatarsus adductus.
    • To describe the use of closing abductory base wedge osteotomies.
    • To detail the Fowler procedure for severe cases.

    Main Methods:

    • Closing abductory base wedge osteotomies of all five metatarsals.
    • Use of oblique wedges for enhanced surgical precision.
    • Combination of screw and cerclage wire fixation.

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  • Concomitant opening wedge osteotomy of the inner cuneiform (Fowler procedure) with bone grafting for severe cases.

    • Main Results:

    • The described techniques allow for precise correction of metatarsus adductus.
    • Surgical fixation with screws and cerclage wire provides stability.
    • The Fowler procedure addresses severe deformities effectively.

    Conclusions:

    • Closing abductory base wedge osteotomies are effective for metatarsus adductus correction.
    • Oblique wedges and combined fixation enhance surgical outcomes.
    • The Fowler procedure is a viable option for severe, complex cases.