Goals and Benefits of Lesser Metatarsal Osteotomy Surgery
- Reduce or eliminate associated pain in the ball of the foot.
- Reduce or eliminate associated callus, if present.
Possible Alternatives to Surgery
- Orthotics or padded insoles
- Orthopedic shoes or other shoe modifications (rocker soles)
- Pads or other accommodative alterations
- Periodic trimming or filing of callus
- Medications – oral or injected
- Physical therapy/ice massage
Stiffness; Prolonged swelling; Prolonged pain; Delayed healing or non-healing of skin, soft tissue, or bone; Circulation disturbance of skin, soft tissue or bone; Infection of soft tissue or bone; Nerve injury or numbness; Unsightly or painful scar; Over-correction; Under-correction; Recurrence; Incomplete relief of pain; Arthritis; Weakness of the toe; Poor toe to ground contact; Change in toe alignment; Shortening of the toe; Callus or pain under adjacent portion of the ball of the foot; Intolerance of the fixation device; Change in threatening reaction to medications and/or anesthesia.
Usual Post-Operative Care/Recovery
Walk in a special surgical shoe or walking cast immediately after surgery with crutches or other assistive device; Use elevation, rest water-tight ice packs, and prescribed medications for pain and swelling control; keep bandages dry and in place for approximately two weeks; sutures are removed in approximately two weeks; pins, if used are removed in six weeks; utilize anti-swelling and anti-stiffness physical therapy for one to six months; return to loose shoes or sneakers in approximately 6 to 9 weeks; return to fashionable shoes in two to four months; return to sedentary activities and/or occupation in one to six weeks; return to demanding activities and/or occupation in two to four months; possible us of orthotics long-term.