Evaluation of the V-osteotomy as a procedure to alleviate the intractable plantar keratoma.

This paper will discuss the distal V-osteotomy procedure of the lesser metatarsals as performed at the Hugar Surgery Center. Sixty-six patients in this study had V-osteotomies performed upon one or more of the middle metatarsals within a 2-year period. Evaluation was based upon patient satisfaction and clinical improvement as measured by the alleviation of the original lesion and the presence of any transfer lesions under the adjacent metatarsal heads. Perioperative steroid injection, early ambulation, and postoperative orthoses contributed to the excellent surgical results.