Metatarsal osteotomies

(including bunionette correction)

The metatarsal bones of the foot may need to be cut and reset (osteotomy) for a variety of reasons including:

  • Bunionette

  • Metatarsalgia

  • Prevention of metatarsalgia in conjunction with other procedures such as bunion correction or first MTP fusion

This operation can be performed via an open incision and also via minimally invasive percutaneous incisions:

MIS technique is indicated only in select patients

The open incision is indicated for those patients that require large correction and/or shortening

Metatarsal osteotomies are frequently performed with other surgery on the forefoot and the other procedures often dictate the post-operative plan.

Xray showing screws in metatarsal bones after Weil osteotomy and bunionette correction with a screw

Post-operative (For isolated Metatarsal osteotomies)

Surgery is a day-stay.

  • A block of the toe is performed to help with post-operative pain.

  • 0-2 weeks: elevation at home to reduce swelling, walk in post-operative flat shoe

  • 2-4 weeks: walking on flat of foot in post-operative shoe

  • 4-6 weeks: return to walking normally in comfortable wide fitting shoes

  • 6 weeks onwards: ongoing range of motion and strengthening

Download post operative care guide

 

Risks of surgery

  • Swelling, stiffness

  • Infection

  • Wound healing problems or infection

  • Scar sensitivity

  • Ongoing pain

  • Non union (bones not healing)

  • Secondary surgery including removal of implants