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Related Concept Videos

Ankle Joint01:10

Ankle Joint

2.7K
The ankle is formed by the talocrural joint (crural = leg). It consists of the articulations between the talus bone of the foot and the distal ends of the tibia and fibula of the leg. The superior aspect of the talus bone is square-shaped and has three areas of articulation. The top of the talus articulates with the inferior tibia. This is the portion of the ankle joint that carries the body weight between the leg and foot. The sides of the talus are firmly held in position by the articulations...
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Dorsiflexory Wedge First Metatarsal Osteotomy.

Mark A Prissel1, Cameron Meyer2, Jae Yoon Kim2

  • 1Orthopedic Foot and Ankle Center, Worthington, OH, USA.

Clinics in Podiatric Medicine and Surgery
|November 20, 2025
PubMed
Summary

Dorsiflexory wedge osteotomies correct the plantarflexed first ray, a common issue in foot deformities. This surgical technique helps restore proper foot alignment and Meary's angle for better clinical outcomes.

Keywords:
CavusDFWODorsiflexory wedge first metatarsal osteotomyFoot deformity

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Area of Science:

  • Orthopedic surgery
  • Podiatric surgery
  • Foot and ankle reconstruction

Background:

  • Symptomatic plantarflexed first ray often presents with forefoot-driven hindfoot varus deformity.
  • Correction of this deformity is crucial for restoring normal foot biomechanics.

Purpose of the Study:

  • To describe the technique and utility of dorsiflexory wedge first metatarsal osteotomies.
  • To highlight the role of Meary's angle in assessing surgical correction.

Main Methods:

  • The procedure involves a dorsiflexory wedge osteotomy at the proximal metaphysis of the first metatarsal.
  • It is performed distal to the first tarsometatarsal joint.
  • Often combined with hindfoot osseous and soft tissue procedures.

Main Results:

  • Restoration of Meary's angle provides intraoperative radiographic and clinical assessment of correction.
  • The osteotomy addresses forefoot valgus deformity.
  • High union rates are reported with various fixation options.

Conclusions:

  • Dorsiflexory wedge first metatarsal osteotomies are pivotal for structural correction of the plantarflexed first ray.
  • This technique aids in correcting forefoot valgus and restoring Meary's angle.
  • The procedure is versatile and achieves high union rates.