Metatarsal osteotomy

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Metatarsal osteotomy

Indicated for symptoms associated with a plantarflexed metatarsal

Distal osteotomy:
• can be oblique or closing wedge

Weil osteotomy:
• indicated for many conditions

Proximal osteotomy:
• many variations – most commonly an oblique closing wedge

Partial head osteotomy:
• retract extensor mechanism
• incise dorsal capsule
• McGlammory retractor underneath the met head
• Remove plantar 30% of met head with saw
• Rasp surface

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