Distal Metatarsal Minimal Invasive Osteotomy (DMMO) for the Treatment of Metatarsalgia

The aim of the surgical treatment of metatarsalgia is to decrease the pressure under the metatarsal (MT) head. Percutaneous surgery of the foot, also known as minimal invasive surgery, allows interventions to be carried out through extremely small incisions without direct exposure of the surgical field under radiologic monitoring. The current authors present their experience with the distal MT minimal invasive osteotomy, in the context of the indications, the technique, postoperative management, and the outcome. Percutaneous osteotomy has proven to be a valid technique, providing satisfactory clinical and anatomic results, similar to open osteotomy, for the treatment of metatarsalgia and other forefoot problems. Level of Evidence: Diagnostic Level 5. See Instructions for Authors for a complete description of levels of evidence.