Percutaneous bunionette correction

Minimally invasive bunionette treatment

“…Some authors have already demonstrated the efficacy of the surgical treatment of this deformity using the same minimally invasive technique described in the present study. Michels et al (15) published a case series in which the 20 operated patients had an improvement in mean AOFAS score from 54.4 to 96.5, and a mean correction of 14.2 o for MTP-5 angle and 5.7 o for 4-5 IMA. Laffenêtre et al (16) retrospectively evaluated 49 operated feet and reported an improvement in mean AOFAS score from 58 to 97, and a mean correction of The minimally invasive technique used in the present study stands out as an effective approach because, via percutaneous access without the use of hardware, it produces radiographic results comparable to those of open techniques (17) .…”

“…The osteotomy described in the present study is associated with some complications, but the main one is hypertrophic callus formation during the healing process. Several authors treating this deformity with a percutaneous technique without fixation have reported this complication (15,16,21,22) . In the series published by Laffenêtre et al (16) , 7 patients had hypertrophic callus formation, and the authors related this type of complication to cases operated bilaterally.…”

Minimally Invasive Distal Metatarsal Metaphyseal Osteotomy (DMMO) of the Fifth Metatarsal for Bunionette Correction

“…There have been several studies in the literature where a minimally invasive or percutaneous technique was used in the treatment of a bunionette deformity 4,[10][11][12][13][14][15] (Table 1). Our study is the first to use PROMs to assess patient outcomes.…”

“…Several articles describe percutaneous methods for correcting the bunionette deformity. 4,[11][12][13][14][15] However, some require some form of percutaneous fixation while others nonweightbear the patients. The fifth minimally invasive distal metatarsal metaphyseal osteotomy (DMMO) is an extra-articular lesser metatarsal neck osteotomy performed without any internal fixation.…”

Fifth Metatarsal Osteotomies for Treatment of Bunionette Deformity: A Meta-Analysis of Angle Correction and Clinical Condition

“…Seven studies (24%), in which solitary bunionette surgery had been performed, reviewed the AOFAS scale scores pre-and postoperatively (17,24,25,29,31,35,37). All 7 studies reported significant improvement in the AOFAS scale scores compared with baseline.…”