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Related Experiment Video

Updated: Jul 9, 2025

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
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Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach

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Lateral metatarsal osteotomy.

Pierre Barouk1, Marion Dias1

  • 1Centre de chirurgie du pied de la clinique du sport, 2, rue Georges-Nègrevergne, 33700 Mérignac, France.

Orthopaedics & Traumatology, Surgery & Research : OTSR
|December 4, 2023
PubMed
Summary
This summary is machine-generated.

Lateral metatarsal osteotomy (LMO) repositions metatarsals using open or percutaneous methods. While minimally invasive techniques are evolving, current evidence doesn't show superiority over open surgery.

Keywords:
DMMOFootMetatarsalMetatarsalgiaOsteotomyWeil

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Area of Science:

  • Orthopedic surgery
  • Foot and ankle surgery
  • Skeletal biomechanics

Background:

  • Lateral metatarsal osteotomy (LMO) is a surgical procedure to correct forefoot deformities by repositioning metatarsals.
  • Techniques range from open to percutaneous approaches, with various displacement options including shortening, lengthening, translation, and raising.
  • Historical concepts of non-fixed osteotomies have evolved towards precise preoperative planning and calculated bone cuts.

Purpose of the Study:

  • To review the different types and techniques of lateral metatarsal osteotomy.
  • To discuss the evolution of LMO from traditional open methods to modern percutaneous approaches.
  • To evaluate the current role and limitations of percutaneous LMO in forefoot reconstruction.

Main Methods:

  • Review of surgical techniques for lateral metatarsal osteotomy.
  • Analysis of displacement types: shortening, raising, translation, and lengthening.
  • Comparison of open versus percutaneous osteotomy approaches, including minimally invasive variants like DMMO and DOMMO.
  • Discussion of preoperative planning considerations.

Main Results:

  • Lateral metatarsal osteotomy encompasses various techniques, including diaphyseal osteotomies for brachymetatarsia and distal osteotomies like DMMO and DOMMO.
  • Percutaneous techniques, while aligning with surgical trends towards minimal invasiveness, have not yet proven superior to open surgery.
  • Percutaneous LMO carries specific complications and requires careful preoperative planning regarding displacement, osteotomy site, and approach.

Conclusions:

  • Lateral metatarsal osteotomy is a versatile procedure with evolving techniques, including percutaneous options.
  • Current evidence does not support the superiority of percutaneous LMO over open surgery, despite its minimal invasiveness.
  • Percutaneous techniques are becoming part of the surgical armamentarium for forefoot reconstruction, necessitating further research into their efficacy and safety.