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Chevron osteotomy for bunionette

M M Moran1, R J Claridge

  • 1Department of Orthopaedics, Vancouver General Hospital, University of British Columbia, Canada.

Foot & Ankle International
|December 1, 1994
PubMed
Summary
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Chevron osteotomy of the distal fifth metatarsal offers a viable surgical option for bunionette treatment. This procedure demonstrated good to excellent patient outcomes, with significant score improvements post-surgery.

Area of Science:

  • Orthopedic Surgery
  • Podiatric Surgery

Background:

  • Bunionettes (tailor's bunions) are common foot deformities.
  • Various surgical techniques exist for symptomatic bunionette correction.

Purpose of the Study:

  • To evaluate the efficacy of distal fifth metatarsal chevron osteotomy for bunionette treatment.
  • To present surgical technique, outcomes, and follow-up data.

Main Methods:

  • Sixteen distal fifth metatarsal chevron osteotomies were performed on 12 patients.
  • A 100-point scoring system was used to assess outcomes.
  • Follow-up ranged from 15 months to 6 years (average 3.2 years).

Main Results:

  • Average patient score improved from 44 to 91 points post-surgery.

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  • Overall results were rated as good to excellent.
  • One case of transfer metatarsalgia (rated fair) was noted.

    • Conclusions:

    • Distal fifth metatarsal chevron osteotomy is a viable surgical alternative for bunionette.
    • The procedure yields favorable outcomes, despite a potential complication.
    • Continued use is supported even in cases of lateral deviation and plantarflexion.