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Fifth Metatarsal Osteotomies.

Lowell Weil1, Devon Consul2

  • 1Weil Foot & Ankle Institute, 1455 Golf Road, Des Plaines, IL 60016, USA.

Clinics in Podiatric Medicine and Surgery
|June 29, 2015
PubMed
Summary

Tailor's bunion (bunionette) involves bone and soft tissue issues at the fifth metatarsal. This review details seven surgical techniques for correction, aiding practitioners in patient management and prognosis.

Keywords:
BunionetteOsteotomyScarfetteTailor’s bunion

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Area of Science:

  • Orthopedic Surgery
  • Podiatric Medicine
  • Surgical Techniques

Background:

  • Tailor's bunion, or bunionette deformity, presents as osseous and soft tissue bursitis.
  • It affects the lateral aspect of the fifth metatarsal head.

Purpose of the Study:

  • To review and discuss seven corrective surgical measures for tailor's bunion.
  • To provide evidence-based techniques for medical management, including evaluation, diagnosis, and prognosis.

Main Methods:

  • Discussion of seven distinct surgical osteotomy techniques.
  • Includes medial oblique sliding osteotomy, SERI (simple, effective, rapid, inexpensive), chevron, closing, lateral wedge, Weil, and scarfette osteotomies.
  • Addresses variations with and without fixation and minimal incision approaches.

Main Results:

  • Outlines multiple evidence-based surgical options for tailor's bunion correction.
  • Details specific osteotomy types and their application.
  • Addresses potential complications associated with these procedures.

Conclusions:

  • The reviewed techniques offer a range of options for correcting tailor's bunion.
  • Practitioners can utilize this information for comprehensive patient care.
  • Understanding these methods aids in diagnosis, treatment selection, and prognosis.