Interpositional sphere implant in the fifth metatarsophalangeal joint

The authors discuss the use of silicone implants for the correction of tailor's bunion deformity. A surgical procedure still in use, resection of the fifth metatarsal head, may result in complications such as transfer lesion, plantar spur formation of the metatarsal stump with an associated plantar hyperkeratotic lesion, and fifth digit retraction. They discuss a case in which the patient was suffering from a painful lesion under the fifth metatarsal head. He had undergone surgery for a similar condition 7 years previously. Dr. Petrich and Dr. Dull discuss the use of the implant and the surgical techniques that they used to correct the deformity.