Operative indications and cases to be wary of
The Scarf osteotomy
is an ideal procedure to deal with all aspects of a bunionette
deformity. It allows effective reduction of the lateral
ly flared fifth metatarsal as well as easy concurrent correction of any articular surface
component to the deformity. The relatively small dimensions of the fifth metatarsal does not often allow use of the Barouk screws
. The DePuy
twist off screws provide adequate hold and are more appropriately sized to this bone.