CHEVRON OSTEOTOMY OF LESSER METATARSALS FOR INTRACTABLE PLANTAR CALLOSITIES

We performed distal chevron osteotomy of the second, third, or fourth metatarsal for painful plantar callosities in 19 non-rheumatoid patien ts (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 st ill having painful plantar callosities, There was union in all feet, b ut transfer metatarsalgia developed in three and three required an ort hosis, Distal chevron osteotomy for intractable plantar callosities wa s successful both clinically and radiologically in most patients.