Metatarsus Adductus Osteotomy

Area of Science:

• Orthopedic surgery
• Pediatric orthopedics
• Foot and ankle reconstruction

Background:

• Metatarsus adductus (MA) is a transverse-plane foot deformity originating at the tarsometatarsal joints.
• MA is frequently linked to other foot deformities, including fifth metatarsal base fractures and hallux valgus.
• Associated hindfoot deformities can also occur, complicating the clinical presentation.

Purpose of the Study:

• To review the surgical correction of metatarsus adductus (MA).
• To discuss periarticular osteotomies as a surgical approach for MA.
• To cover applications in both pediatric and adult populations.

Main Methods:

• Review of literature on surgical techniques for MA correction.
• Focus on periarticular osteotomies of metatarsals, cuboid, and cuneiforms.
• Comparison with intraarticular osteotomies and realignment arthrodesis.

Main Results:

• Periarticular osteotomies are a well-documented surgical approach for MA.
• Both isolated and combined osteotomies have been described.
• Intraarticular techniques are typically reserved for older patients.

Conclusions:

• Periarticular osteotomies offer a viable surgical strategy for correcting MA deformities.
• This approach is applicable across pediatric and adult age groups.
• Understanding these techniques is crucial for managing complex foot deformities.