Scarf osteotomy - The midpoint of the Metatarsal head
Once the exostosis is removed (not shown) a central hole is marked with the tips of tenotomy scissors. This point should be approximately in the midline of both the metatarsal shaft (2) as well as in the midpoint of the metatarsal head (1). This hole is a marker for where to cut to with the De Soutter fine power saw for the scarf osteotomy.