Dorsiflexory Wedge First Metatarsal Osteotomy

Dorsiflexory wedge first metatarsal osteotomies play a pivotal role in the structural correction of a symptomatic plantarflexed first ray often in the setting of a forefoot driven hindfoot varus deformity. Restoration of Meary's angle can provide surgeons intraoperative radiographic visualization of correction in addition to clinical correction of forefoot valgus deformity. This procedure is performed at the proximal metaphysis of the first metatarsal distal to the first tarsometatarsal joint. It typically is performed in conjunction with additional hindfoot osseous and soft tissue procedures. There exists a plethora of fixation options with high reported union rates.