ArticleFoot & ankle orthopaedics2026
Complete vs Incomplete Percutaneous Oblique Distal Closing Wedge Osteotomy for Bunionette (Tailor's Bunion) Deformity Correction: A Retrospective Comparative Study.
Article in Foot & ankle orthopaedics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: There has been increasing interest in the use of percutaneous osteotomy techniques for bunionette (tailor's bunion) correction. This study evaluated clinical and radiographic outcomes following an unfixed, percutaneous oblique distal metaphyseal-diaphyseal osteotomy and compared outcomes between complete and incomplete osteotomy groups. Methods: A total of 43 feet (mean age 54.2 ± 17.1) underwent percutaneous oblique distal osteotomy by a single surgeon over a 4-year period. The primary outcome was the presence of significant postoperative hypertrophic callus at the osteotomy site (>150% of the width of the fifth metatarsal shaft), which decreases over time due to normal bone remodeling. Secondary exploratory outcomes included the radiographic parameters fourth-fifth intermetatarsal angle (IMA) and metatarsophalangeal angle (MPA), and patient-reported outcome measures (PROMs) of Manchester-Oxford Foot Questionnaire (MOXFQ), EuroQol 5-Dimension, 5-Level (EQ-5D-5L), and visual analogue scale (VAS) Pain (minimum 12 months' follow-up). Results: Thirty feet had a complete osteotomy, and 13 feet had an incomplete osteotomy with the lateral cortex remaining intact. In the complete osteotomy group, 60% of patients ( Conclusion: Unfixed, minimally invasive oblique distal osteotomy for bunionette deformity is a safe and effective procedure that is associated with significant improvement in radiographic and clinical outcomes. Whether or not the osteotomy is complete does influence hypertrophic callus formation but does not significantly affect the radiographic or clinical outcomes. Level of Evidence: Level III, retrospective comparative study.
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