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Related Concept Videos

Bones of the Lower Limb: Tibia and Fibula01:10

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The tibia is the main weight-bearing bone of the lower leg. It is larger than the fibula with which it is paired. The tibia is also the second longest bone in the body and is located right below the skin. The proximal end of the tibia forms the medial and the lateral condyle, which articulates with the condyles of the femur to form the knee joint. Between the articulating surfaces is the irregular elevated area known as the intercondylar eminence that serves as the inferior attachment point for...
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Related Experiment Video

Updated: Mar 23, 2026

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
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The Reverse Ludloff Osteotomy for Bunionette Deformity.

Hazibullah Waizy1, James R Jastifer1, Christina Stukenborg-Colsman1

  • 1Hessing Foundation, Clinic for Foot and Ankle surgery, Augsburg, Germany (HW)Borgess Orthopaedics, Kalamazoo, Michigan (JRJ)Orthopedic Department, Hannover Medical School, Hannover, Germany (CSC, LC).

Foot & Ankle Specialist
|April 1, 2016
PubMed
Summary

The reverse Ludloff osteotomy effectively treats severe bunionette deformities, showing high patient satisfaction and radiographic improvement with no complications. This surgical option offers a reliable solution for persistent bunionette pain.

Keywords:
Ludloff osteotomybunionettetailor’s bunion

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Area of Science:

  • Orthopedic Surgery
  • Foot and Ankle Surgery

Background:

  • Bunionette deformity, characterized by lateral fifth metatarsal head pain, has multiple surgical treatments.
  • Severe cases often require effective operative intervention.

Purpose of the Study:

  • To evaluate the outcomes of the reverse Ludloff osteotomy for severe bunionette deformities.
  • Assess patient satisfaction and radiographic correction.

Main Methods:

  • Retrospective review of 16 patients with symptomatic type II or III bunionette treated with reverse Ludloff osteotomy.
  • Assessment included AOFAS (American Orthopaedic Foot and Ankle Society) lesser toe scores, EQ-5D, and radiographic analysis at a mean follow-up of 41.9 months.

Main Results:

  • High patient satisfaction (15/16) and minimal limitations in daily activities were reported.
  • Significant radiographic correction of lateral bowing (8.1° to 0.67°) and 4-5 intermetatarsal angle (13.2° to 5.2°) was achieved.
  • No complications or need for revision surgery were observed.

Conclusions:

  • The reverse Ludloff osteotomy is a safe and effective procedure for severe bunionette deformities.
  • It offers high patient satisfaction and significant radiographic correction, making it a viable surgical option.