Metatarsal head resection Fig 816

Resection of a single metatarsal head is indicated for one of the following reasons, when non-surgical methods fail to achieve the desired result:

• For removal of infected bone, in the case of chronic osteomyelitis

• For decompression of a plantar ulcer, as an alternative to metatarsal osteotomy, to facilitate wound healing

• For deformity of the 5th metatarsal with painful callus on the plantar or lateral aspect of the metatarsal head. Resection of the metatarsal head can be performed through a dorsal incision over the metatarsophalangeal joint, or in the presence of a deep plantar ulcer, the ulcer and the metatarsal head can both be excised through a plantar approach.

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