Forefoot morphotype study and planning method for forefoot osteotomy

Abstract

In the reconstruction of the hip, knee, or any other joint, preoperative planning is necessary for avoiding mistakes during surgery. Since 1995, the authors have been doing this before forefoot surgery to increase the accuracy of the surgery. As much as possible, they try to correct only the lesion and to avoid preventive or extensive surgery on adjacent rays, except if the correction leads to a modified dysharmonious new morphotype with high risk of transfer lesion. The tolerance length seems to be 2 mm, particularly on the middle metatarsals (M2 and M3). This surgery should be performed only if the midfoot and backfoot are correct and if the gastrocnemius muscle has been checked on to eliminate a retraction needing stretching exercises before and generally after surgery.