Treatment of bunionette deformity with distal oblique sliding osteotomy
Department of Orthopaedic Surgery & Traumatology II, Mohamed V Military Hospital, Faculty of Medicine and pharmacy, Mohamed V University, Rabat 10100, Morocco.
Research Article
World Journal of Biology Pharmacy and Health Sciences, 2024, 18(01), 209–213.
Article DOI: 10.30574/wjbphs.2024.18.1.0190
Publication history:
Received on 01 March 2024; revised on 10 April 2024; accepted on 13 April 2024
Abstract:
Background: Tailor’s bunion is a bone prominence on the lateral side of the fifth metatarsal head, it is most often associated with soft tissue bursitis and a tender callosity.
In the current series, we evaluated a technique of Distal Oblique Sliding Osteotomy using K-wire fixation.
Materials and methods: We present a retrospective and consecutive series concerning six patients (six feet) suffering from symptomatic bunionette deformity treated through the DOSO with k-wire fixation. We describe this procedure, their results, and short-term follow-up.
Results: At 12 months follow-up, the results were satisfactory in 5 feet, fair in one patient following the American Orthopaedic Foot and Ankle Society (AOFAS) score. The average preoperative intermetatarsal 4-5 angle improved from 14,5° (range, 8°-17°) to 5° (range, 5°-9°) and the fifth metatarsophalangeal angle improved from 16.2° (range, 10°-24°) to 3,5° (range, 2°-9°).
Conclusion: This technique is versatile, cost-effective (can use a small piece of pins), safe and reliable in comparison to other types of bunionette osteotomy and their osteosynthesis.
Keywords:
Bunionette; Deformity; Osteotomy; Fifth metatarsal; Foot.
Full text article in PDF:
Copyright information:
Copyright © 2024 Author(s) retain the copyright of this article. This article is published under the terms of the Creative Commons Attribution Liscense 4.0