Bunionette: Is There a Minimally Invasive Solution?

Abstract

A bunionette deformity is a painful prominence on the lateral aspect of the fifth metatarsal head. Surgical treatment can be considered if conservative treatment has failed to relieve the symptoms. The percutaneous approach consists of 2 steps: a condylectomy and an osteotomy of the fifth metatarsal. The learning curve is small and the final results are similar to the open techniques. The main advantages are the hardware-free technique and the minimally invasive approach. This percutaneous approach avoids complications related to hardware and soft tissue healing. Because of this low complication rate, the percutaneous technique may become the new gold standard.

Keywords: Bunionette; Fifth metatarsal; Forefoot surgery; Metatarsal osteotomy; Percutaneous; Tailor’s bunion minimally invasive.