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Minimally Invasive Lesser Metatarsal Osteotomies and Their Variations.

Olivier Laffenetre1, Julien Lucas Y Hernandez2, Rebecca Cerrato3

  • 1Foot & Ankle Institute, 6 square Jouvenet, 75016 Paris, France; University Medico-surgical Foot Center, Pellegrin University Hospital, Place Amélie Raba-Léon, 33076 Bordeaux, France; Founding member of MIFAS by Grecmip (Minimally Invasive Foot and Ankle Society), 2 rue Nègre-Vergne, Lotissement Hermitage Est, 33700 Mérignac, France.

Foot and Ankle Clinics
|July 26, 2025
PubMed
Summary
This summary is machine-generated.

The distal metatarsal minimally invasive osteotomy (DMMO) treats metatarsalgia with predictable healing and fewer complications. This percutaneous osteotomy allows immediate weight-bearing and less soft tissue injury, showing effective clinical results.

Keywords:
Converse DMMODICMODMDODMMODOMMOMetatarsalgiaPercutaneous surgery

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Area of Science:

  • Orthopedic Surgery
  • Podiatric Surgery
  • Minimally Invasive Procedures

Background:

  • Metatarsalgia, a common foot condition, presents challenges in treatment.
  • Traditional open surgeries carry risks of stiffness, scarring, and wound complications.
  • Distal metatarsal minimally invasive osteotomy (DMMO) has emerged as an alternative approach.

Purpose of the Study:

  • To evaluate the efficacy and outcomes of the distal metatarsal minimally invasive osteotomy (DMMO).
  • To highlight DMMO as a percutaneous alternative to open surgery for metatarsalgia.
  • To discuss the advantages of DMMO, including reduced complications and immediate weight-bearing capability.

Main Methods:

  • The study focuses on the application and outcomes of the DMMO procedure.
  • It involves percutaneous osteotomy, an extra-articular surgical technique.
  • Advanced variations of the procedure are considered for expanded treatment capabilities.

Main Results:

  • DMMO demonstrates predictable healing with a reduced risk of stiffness, scarring, and wound complications.
  • The procedure offers satisfactory clinical results with less soft tissue injury compared to open surgery.
  • Percutaneous osteotomy allows for immediate weight-bearing post-operatively.

Conclusions:

  • DMMO is an effective extra-articular osteotomy for treating static and propulsive metatarsalgia.
  • The minimally invasive nature of DMMO leads to better patient outcomes and fewer complications.
  • Growing evidence supports the efficacy of DMMO, positioning it as a valuable surgical option.