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If you need a metatarsal osteotomy, please Schedule an appointment with one of our orthopedic specialists as soon as possible.

What Is A Metatarsal Osteotomy?

Metatarsal osteotomy, also known as metatarsal ostectomy, is a surgical procedure used to treat certain foot conditions, particularly metatarsalgia and metatarsal head pain. Metatarsalgia is a condition characterized by pain and inflammation in the ball of the foot, usually in the area of the metatarsal heads (the heads of the long bones in the foot).

The procedure involves the surgical removal of a portion of one or more metatarsal bones to alleviate pressure and reduce pain in the affected area. By shortening or repositioning the metatarsal bone, the pressure on the metatarsal heads and nearby nerves is decreased, leading to pain relief and improved foot function.

Metatarsal osteotomy can be performed as a standalone procedure or in combination with other surgical techniques, depending on the specific foot condition and the extent of the deformity.

The general steps of metatarsal osteotomy include:

  1. Anesthesia: The patient is typically given local or regional anesthesia to numb the foot during the surgery.
  2. Incision: The surgeon makes an incision over the metatarsal bone that needs to be modified.
  3. Bone removal: The surgeon carefully removes a section of the metatarsal bone to achieve the desired shortening or repositioning.
  4. Soft tissue adjustments: In some cases, the surgeon may need to make adjustments to the surrounding soft tissues, ligaments, or tendons to achieve proper alignment and relieve pressure on the metatarsal heads.
  5. Closure: After the bone removal and any necessary soft tissue adjustments are completed, the incision is closed with sutures, and the surgical site is dressed and bandaged.

Post-operatively, the patient may need to use crutches or a walker for a period of non-weight-bearing on the foot to allow for proper bone healing. A cast or a specialized boot may also be used to protect the foot during the initial healing phase. Physical therapy and rehabilitation exercises are essential to regain strength and mobility in the foot during the recovery process.

Metatarsal osteotomy is generally considered an effective treatment for metatarsalgia and other related foot conditions. However, as with any surgical procedure, there are potential risks and complications, such as infection, delayed bone healing, and non-union (failure of the bones to heal). The decision to undergo metatarsal osteotomy is made after a thorough evaluation and discussion with an orthopedic surgeon, who will assess the individual’s specific condition, medical history, and overall health to determine if the procedure is the appropriate treatment option.


If you would like to speak to an Orthopedic Specialist, give us a call at 817-697-4038, or contact us over the web. Tele-medicine appointments are also available.