Shortening of one or more metatarsals may be a cause of metatarsalgia
and painful toe deformity, Usually, symptoms are limited and may be su
ccessfully addressed with nonoperative treatment. Rarely, operation is
indicated. This report reviews the surgical techniques, results, and
complications. These operations include osteotomy and one-stage distra
ction with bone grafting, osteotomy and one-stage distraction without
bone grafting, osteotomy with gradual distraction and bone grafting, a
nd osteotomy with gradual distraction without bone grafting.