Minimum-Incision Metatarsal Osteotomies

This article focuses on minimal-incision metatarsal osteotomies for treating ulcerative lesions related to hallux valgus deformities and central and fifth metatarsal plantar ulcerations to correct the structural deformity responsible for the ulceration. The authors presented a structured review of the literature regarding complications associated with the use of minimum-incision surgical techniques available for the first, central, and fifth metatarsals and techniques to avoid them. Although a steep learning curve exists with these procedures, the advantage of performing minimum- incision metatarsal osteotomies in high-risk populations allows for rapid and predictable resolution of recalcitrant or recurrent ulcerations through correction of the underlying structural deformity with minimal complications.