The fifth metatarsal rotational osteotomy for the correction of tailor’s bunion deformity

Twenty patients with a mean age of 45 (range=16–77) underwent tailor’s bunion correction using a rotational osteotomy of the fifth metatarsal.The fourth/fifth intermetatarsal angle was measured with weight bearing dorsiplantar radiographs pre-operatively and at an average of 27 months post-operatively. The American Orthopedic Foot and Ankle Society (AOFAS) clinical rating system was also applied pre-operatively and at an average of 27 months post-operatively.X-ray review revealed a mean pre-operative angle of 10.0° and mean post-operative angle of 6.3° (P=0.0001), mean pre-operative AOFAS score=50.2, mean post-operative score=92.8 (P=0.0001). No transfer metatarsalgia was noted at final review, and all osteotomies proceeded to union. All patients stated that they were satisfied with the outcome of surgery.