We performed distal chevron osteotomy of the second, third, or fourth metatarsal for painful plantar callosities in 19 non-rheumatoid patients (16 women, 3 men; 21 feet); their mean age was 59 years (32 to 85). The mean follow-up was four years (2 to 7).
The overall results were good in 16 feet, fair in two, and poor in three, with four patients still having painful plantar callosities. There was union in all feet, but transfer metatarsalgia developed in three and three required an orthosis.
Distal chevron osteotomy for intractable plantar callosities was successful both clinically and radiologically in most patients.
- Received September 19, 1997.
- Accepted January 13, 1998.
- © 1998 British Editorial Society of Bone and Joint Surgery