The Journal of Bone and Joint Surgery, Vol 71, Issue 3 423-426, Copyright © 1989 by Journal of Bone and Joint Surgery, Inc
Hohmann-Thomasen metatarsal osteotomy for tailor's bunion (bunionette)
MS Steinke and KL Boll
Department of Orthopaedic Surgery, Holstebro Hospital, Denmark.
We used subcapital displacement osteotomy of the fifth metatarsal bone and
peg-and-hole fixation to treat a tailor's bunion (bunionette) in forty-four
feet (twenty-seven patients). The result was good in 86 per cent, fair in 9
per cent, and poor in 5 per cent. All but one of the patients were
satisfied with the result. The average medial displacement of the head of
the fifth metatarsal was five millimeters. In all feet, secure union was
noted in five weeks, and no patient had osteonecrosis of the head of the
fifth metatarsal.