The resistant, painful, plantar lesion: a surgical approach

Osteotomies designed to lift the metatarsal head dorsally on the sagittal plane are performed to alleviate painful plantar lesions beneath the metatarsal head. Correcting the position of the bone reduces the plantar pressure and stresses that are believed to cause the painful lesions. The authors found that resistant plantar lesions secondary to a plantarly depressed or long lesser metatarsal responded to a combination of plantar excision and modified cartilaginous articulation preservation osteotomy procedure.