{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T04:48:22Z","timestamp":1790138902932,"version":"4.0.1"},"reference-count":57,"publisher":"SAGE Publications","issue":"8","license":[{"start":{"date-parts":[[2022,6,1]],"date-time":"2022-06-01T00:00:00Z","timestamp":1654041600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Foot Ankle Int."],"published-print":{"date-parts":[[2022,8]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Bunionette deformity is described as a painful bony prominence on the lateral aspect of the fifth metatarsal head. The present study prospectively assessed the clinical, functional, and radiographic outcomes of sliding distal metatarsal minimally invasive osteotomy (S-DMMO) used in a large series of patients with a midterm follow-up period.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>From December 2015 to December 2018, we evaluated 74 feet (57 patients). Radiologic (4-to-5 intermetatarsal angle, fifth metatarsophalangeal angle, the fifth metatarsal head width, lateral deviation angle, fifth metatarsal length, medial displacement, and elevation), clinician-reported scores (AOFAS score, visual analog scale [VAS]) and patient-reported outcomes measure (Foot and Ankle Ability Measure [FAAM] activities of daily living [ADL], FAAM sports, Manchester-Oxford Foot Questionnaire [MOXFQ], and patient satisfaction survey) were included in the analysis. The time to bone union was also assessed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      The average 4-to-5 intermetatarsal angle improved from 11.1 degrees preoperatively to 4.5 degrees postoperatively (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; .001), whereas the average fifth metatarsophalangeal angle improved from 15.7 degrees preoperatively to 4.8 degrees postoperatively (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; .001). The lateral deviation angle was found to be 2.2 degrees. The fifth metatarsal length decreased from 66.6 to 64.3 mm postoperatively. The average initial medial displacement was 4.67 mm preoperatively and 4.54\u2009mm at final follow-up. The elevation of the fifth metatarsal head was 1.08 mm. The American Orthopaedic Foot &amp; Ankle Society score improved from 54.3 \u00b1 20.86 points preoperatively to 93.4 \u00b1 17.3 (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; .001). VAS score decreased from 7.9 to 0.7 (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; .001). Also, FAAM ALD, FAAM Sport, and MOXFQ showed statistically significant differences (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; .001) between preoperative and postoperative periods. Patients found the procedure excellent in 89.1% of cases, very good in 5.4%, and good in 5.4%. Bone union was obtained at 8.1 weeks.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The most important finding of the present study is that S-DMMO showed improvement in function and pain associated with a high satisfaction rate. Also, we found substantial capacity to correct deformities and a low incidence of complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence:<\/jats:title>\n                    <jats:p>Level IV, case series.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10711007221093367","type":"journal-article","created":{"date-parts":[[2022,6,1]],"date-time":"2022-06-01T06:24:52Z","timestamp":1654064692000},"page":"1022-1033","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":10,"title":["Midterm Outcomes of Sliding Distal Metatarsal Minimally Invasive Osteotomy to Treat Bunionette Deformity"],"prefix":"10.1177","volume":"43","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5263-7626","authenticated-orcid":false,"given":"Jorge Javier","family":"Del Vecchio","sequence":"first","affiliation":[{"name":"Orthopaedics Department, Fundaci\u00f3n Favaloro\u2013Hospital Universitario, Ciudad Aut\u00f3noma de Buenos Aires, CP, Argentina"},{"name":"Department of Kinesiology and Physiatry, Universidad Favaloro, Ciudad Aut\u00f3noma de Buenos Aires, CP, Argentina"},{"name":"Minimally Invasive Foot and Ankle Society (MIFAS by Grecmip), Negrevergne, MERIGNAC, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mauricio Esteban","family":"Ghioldi","sequence":"additional","affiliation":[{"name":"Foot and Ankle Section, Fundaci\u00f3n Favaloro\u2013Hospital Universitario, Ciudad Aut\u00f3noma de Buenos Aires, Buenos Aires, Argentina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5684-3902","authenticated-orcid":false,"given":"Eric Daniel","family":"Dealbera","sequence":"additional","affiliation":[{"name":"Foot and Ankle Section, Fundaci\u00f3n Favaloro\u2013Hospital Universitario, Ciudad Aut\u00f3noma de Buenos Aires, Buenos Aires, Argentina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lucas Nicol\u00e1s","family":"Chemes","sequence":"additional","affiliation":[{"name":"Foot and Ankle Section, Fundaci\u00f3n Favaloro\u2013Hospital Universitario, Ciudad Aut\u00f3noma de Buenos Aires, Buenos Aires, Argentina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1750-5676","authenticated-orcid":false,"given":"Nasef Mohamed N.","family":"Abdelatif","sequence":"additional","affiliation":[{"name":"Orthopedic Surgery, Maadi, Cairo, Egypt"},{"name":"Orthopedic Surgery, Sayeda Zainab, Cairo, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6043-698X","authenticated-orcid":false,"given":"Miki","family":"Dalmau-Pastor","sequence":"additional","affiliation":[{"name":"Minimally Invasive Foot and Ankle Society (MIFAS by Grecmip), Negrevergne, MERIGNAC, France"},{"name":"Human Anatomy Unit, Department of Pathology and Experimental Therapeutics, School of Medicine and Health Sciences, University of Barcelona, Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2022,6]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.jfas.2005.02.005"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-200210000-00018"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.recot.2020.06.003"},{"issue":"4","key":"e_1_3_2_5_2","first-page":"316","article-title":"Oblique osteotomy of the fifth metatarsal: a five year review","volume":"27","author":"Catanzariti AR","year":"1988","unstructured":"Catanzariti AR, Friedman C, DiStazio J. Oblique osteotomy of the fifth metatarsal: a five year review. J Foot Surg. 1988;27(4):316-320.","journal-title":"J Foot Surg"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1177\/1071100713489121"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.fcl.2020.05.008"},{"key":"e_1_3_2_8_2","first-page":"37","article-title":"Etiology and treatment of the bunionette deformity","volume":"39","author":"Coughlin MJ","year":"1990","unstructured":"Coughlin MJ. Etiology and treatment of the bunionette deformity. Instr Course Lect. 1990;39:37-48.","journal-title":"Instr Course Lect"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1177\/107110079101100402"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1177\/107110070202300114"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.94B2.27634"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-021-05111-4"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1097\/BTF.0000000000000195"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1177\/1071100715585560"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0891-8422(23)00400-7"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.1177\/1071100720917906"},{"issue":"3","key":"e_1_3_2_17_2","first-page":"237","article-title":"Tailor\u2019s bunion: clinical evaluation and correction by distal metaphyseal osteotomy with cortical screw fixation","volume":"28","author":"Frankel JP","year":"1989","unstructured":"Frankel JP, Turf RM, King BA. Tailor\u2019s bunion: clinical evaluation and correction by distal metaphyseal osteotomy with cortical screw fixation. J Foot Surg. 1989;28(3):237-243.","journal-title":"J Foot Surg"},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.3113\/FAI.2008.0282"},{"key":"e_1_3_2_19_2","doi-asserted-by":"publisher","DOI":"10.1177\/1938640009332666"},{"key":"e_1_3_2_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.fas.2011.03.005"},{"key":"e_1_3_2_21_2","doi-asserted-by":"publisher","DOI":"10.1177\/1071100715598601"},{"issue":"1","key":"e_1_3_2_22_2","first-page":"57","article-title":"The modified scarf osteotomy in the treatment of tailor\u2019s bunion: midterm follow-up","volume":"81","author":"Hrubina M","year":"2015","unstructured":"Hrubina M, Skotak M, Letocha J, Dzupa V. The modified scarf osteotomy in the treatment of tailor\u2019s bunion: midterm follow-up. Acta Orthop Belg. 2015;81(1):57-64. PMID: 26280856.","journal-title":"Acta Orthop Belg"},{"key":"e_1_3_2_23_2","doi-asserted-by":"publisher","DOI":"10.1080\/14397595.2019.1626972"},{"issue":"2","key":"e_1_3_2_24_2","first-page":"104","article-title":"Oblique fifth metatarsal osteotomy: a follow-up study","volume":"21","author":"Keating SE","year":"1982","unstructured":"Keating SE, DeVincentis A, Goller WL. Oblique fifth metatarsal osteotomy: a follow-up study. J Foot Surg. 1982;21(2): 104-107.","journal-title":"J Foot Surg"},{"key":"e_1_3_2_25_2","doi-asserted-by":"publisher","DOI":"10.1177\/107110079401500701"},{"key":"e_1_3_2_26_2","doi-asserted-by":"publisher","DOI":"10.1177\/107110079101100601."},{"key":"e_1_3_2_27_2","doi-asserted-by":"publisher","DOI":"10.1177\/107110079101200204"},{"key":"e_1_3_2_28_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.jfas.2021.05.003."},{"key":"e_1_3_2_29_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.otsr.2014.11.017"},{"key":"e_1_3_2_30_2","doi-asserted-by":"publisher","DOI":"10.3113\/FAI.2006.0799"},{"key":"e_1_3_2_31_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.20.01178"},{"key":"e_1_3_2_32_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.jfas.2014.07.016"},{"key":"e_1_3_2_33_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.J.01177"},{"key":"e_1_3_2_34_2","doi-asserted-by":"publisher","DOI":"10.3113\/FAI.2010.0676."},{"key":"e_1_3_2_35_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.jfas.2017.08.006"},{"key":"e_1_3_2_36_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.foot.2019.101661"},{"key":"e_1_3_2_37_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.fas.2012.06.003"},{"key":"e_1_3_2_38_2","doi-asserted-by":"publisher","DOI":"10.1177\/107110079401501212"},{"key":"e_1_3_2_39_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00064-018-0542-z"},{"key":"e_1_3_2_40_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.fas.2019.06.001"},{"key":"e_1_3_2_41_2","doi-asserted-by":"publisher","DOI":"10.1177\/1938640020937501"},{"key":"e_1_3_2_42_2","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-200203000-00026"},{"key":"e_1_3_2_43_2","doi-asserted-by":"publisher","DOI":"10.1177\/2473011421993793"},{"key":"e_1_3_2_44_2","doi-asserted-by":"publisher","DOI":"10.7547\/87507315-86-2-63"},{"key":"e_1_3_2_45_2","doi-asserted-by":"publisher","DOI":"10.1177\/107110070502600605"},{"key":"e_1_3_2_46_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.fcl.2016.04.003"},{"key":"e_1_3_2_47_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.fas.2018.06.004"},{"key":"e_1_3_2_48_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpm.2004.10.004"},{"key":"e_1_3_2_49_2","doi-asserted-by":"publisher","DOI":"10.1177\/1071100715614923"},{"key":"e_1_3_2_50_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-012-2343-2"},{"key":"e_1_3_2_51_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0030-5898(20)32230-6"},{"key":"e_1_3_2_52_2","doi-asserted-by":"publisher","DOI":"10.1177\/1071100719834539"},{"key":"e_1_3_2_53_2","doi-asserted-by":"publisher","DOI":"10.1177\/1071100717745536"},{"key":"e_1_3_2_54_2","doi-asserted-by":"publisher","DOI":"10.1177\/1938640016640886"},{"key":"e_1_3_2_55_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpm.2015.03.001."},{"key":"e_1_3_2_56_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.fcl.2011.08.012"},{"key":"e_1_3_2_57_2","doi-asserted-by":"publisher","DOI":"10.3113\/FAI.2006.0794"},{"key":"e_1_3_2_58_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.foot.2016.03.003"}],"container-title":["Foot &amp; Ankle International"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10711007221093367","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/10711007221093367","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10711007221093367","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T21:25:53Z","timestamp":1777411553000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/10711007221093367"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,6]]},"references-count":57,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2022,8]]}},"alternative-id":["10.1177\/10711007221093367"],"URL":"https:\/\/doi.org\/10.1177\/10711007221093367","relation":{},"ISSN":["1071-1007","1944-7876"],"issn-type":[{"value":"1071-1007","type":"print"},{"value":"1944-7876","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,6]]}}}