Metatarsat Osteotomy for the Correction of Metatarsus Adductus

The pediatric/adolescent patient with the deformity metatarsus adductus, represents an entirely different set of circumstances from a surgical standpoint than does the adult patient. ln dealing with a pediatric deformity there exists many more surgical variables. An individual with metatarsus adductus as a primary deformity will have greater expectations from treatment than will the patient that presents with residual metatarsus adductus from a previously treated club foot. Both the presence of open epiphyses and extrinsic forces that exist can significantly alter the structure of the foot over time. Finally, of great importance to the treatment is the parents' expectations and depending on the age of the patient, the patient's expectations.