Laterally closing metatarsal head osteotomy in the correction of a medially overlapping digit.

Management of the medially deviated and overlapping second digit is often frustrating because of inconsistent surgical results. After a review of the pertinent anatomy and previous forms of treatment, both conservative and surgical, the author discusses the concept of a laterally closing metatarsal head osteotomy. Experience over the past 7 years has shown this procedure to be very effective as an adjunctive procedure in the surgical correction of the deformity.