Moderate Bunions: Is The Metatarsal Osteotomy More Effective Than The Tarsometatarsal Arthrodesis?
Point Yes. Noting the more aggressive nature of the Lapidus procedure and higher non-union rates, these authors say metatarsal osteotomies such as the Scarf osteotomy and closing base wedge osteotomy provide reliable long-term correction of moderate severity bunions with minimal complications.
Counterpoint No. Sharing his experience along with evidence from the literature, this author advocates that triplanar correction capability, evolving improvements in technique and superior alignment make the tarsometatarsal arthrodesis the preferred procedure for moderate bunions over metatarsal osteotomies.
Khlopas H, Fallat LM, Hoffman S. Moderate Bunions: Is The Metatarsal Osteotomy More Effective Than The Tarsometatarsal Arthrodesis? Podiatry Today. 2020 Oct; 33(10).