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Distal metatarsal osteotomy for bunionette deformity
1Department of Orthopedic Surgery, County Hospital, Hillerød, Denmark.
The Journal of Foot Surgery
|November 1, 1988
Summary
This study shows the Hohmann displacement osteotomy is an effective surgical treatment for bunionette deformities, offering long-lasting results and high patient satisfaction. Most patients could wear any footwear after surgery, indicating functional and cosmetic improvements.
Area of Science:
- Orthopedic Surgery
- Podiatric Medicine
- Skeletal Deformities
Background:
- Bunionette deformity, also known as tailor's bunion, affects the fifth metatarsal.
- Surgical intervention is often considered for symptomatic cases.
Purpose of the Study:
- To evaluate the efficacy and long-term outcomes of the Hohmann displacement osteotomy modified by Thomasen for treating bunionette deformity.
Main Methods:
- Surgical treatment using modified Hohmann displacement osteotomy on the fifth metatarsal.
- Evaluation of 54 feet (36 patients) with a median follow-up of 69 months postoperatively.
Main Results:
- 88% of patients reported full satisfaction, primarily due to the ability to wear diverse footwear.
- Objective success rate was 78%, with low recurrence rates (6%) and manageable complications (2%).
- 10% experienced transfer lesions and 4% developed intractable plantar keratosis.
Conclusions:
- The modified Hohmann displacement osteotomy is an effective surgical option for bunionette deformity.
- The procedure provides durable, long-lasting results with a high degree of patient satisfaction.
- Functional improvement in footwear choice is a significant benefit reported by patients.