What is V-Osteotomy?
V-osteotomy provides the most options for correction of complex foot deformities. Percutaneous technique is most especially useful for the complex foot deformity that has poor skin coverage, with poor blood supply.
Candidates for V-Osteotomy
Ideal candidates for a V-Osteotomy procedure are those with complex foot deformity. This condition can be described as a foot with multi-planar abnormalities with or without shortening of the foot.
During the initial consultation, BHMG’s Board Certified Surgeon will ask for a complete medical history and will conduct a careful examination to evaluate your overall health.
The V-Osteotomy Procedure
V-osteotomy for lesser metatarsals uses a v cut as close to the transverse plane as possible. A K-wire is placed dorsally and centrally just proximal to the cartilage surface at an acute angle approximating the weight-bearing surface. The metatarsal is then V cut with an oscillating saw at about 60 degrees following this apical axis guide. This lessens, and may even negate, any dorsi-flexion of the metahead, causing floating toes. You can slide the head proximal to shorten and fixating with a threaded k-wire is effortlessly performed.
What are the advantages of V-Osteotomy?
The benefits of this procedure include low morbidity, good stability with early weight-bearing, no need for internal fixation, and ability to adjust alignment with post-operative cast. Also, healing is relatively quick, about two months. Plus the range of motion returns to pre-operative values around two months after cast removal. This technique proved helpful for deformities in both young and old patients with osteoarthritis.