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Bunionette Deformity Correction (Distal Fifth Metatarsal Osteotomy)

bunionette deformity is an abnormal bump of bone on the outer side of the fifth toe. What usually seems like a small and painless problem at first could actually turn into a much larger issue over time.

When do you need Bunionette Deformity Correction?

Bunionette Deformity Correction is recommended for patients who cannot wear shoes comfortably because of the size of the bunionette or for those who cannot receive nonsurgical treatment for bunionette correction.

What is the process of Bunionette Deformity Correction?

First, the surgeon realigns the head of the metatarsal bone and removes any excess bone in order to eliminate the prominence and to give the foot a more natural shape.

To prepare for the procedure, the patient is correctly positioned and undergoes anesthesia. The surgeon then creates a small incision on the outer side of the  foot in order to access the metatarsophalangeal joint where the phalanx of the toe meets the head of the metatarsal.

Once the bunnionette is located on the head of the metatarsal, the surgeon then uses a cutting instrument to remove any excess bone growth from the metatarsal. The surgeon will then carefully divide the metatarsal to free the head of the bone.

The head of the metatarsal is shifted inward and away from the outer side of the foot which reduces the overall width of the foot and provides a stable base for the fifth toe. Next, the surgeon will insert a small screw through the head of the metatarsal in order to lock it in place.


Once the procedure is completed, the incision is closed and the foot is properly bandaged. The patient may then be placed in a postoperative shoe which allows them to bear weight on the foot as it heals. Recovery time for most patients is between six and eight weeks.


Dr. Kris Dinucci

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