Metatarsal head resection for bunionette: long-term follow-up.

We studied 11 feet of seven patients who underwent resection of the distal fifth metatarsal for bunionette at our institution, with an average follow-up of 9.1 years and a minimum follow-up of 8.0 years. Results from 11 feet were good in two, fair in two, and poor in seven. Causes of failure were transfer metatarsalgia, persistent lateral forefoot prominence, and painful fifth toe deformity. Complications occurred in 64% and included transfer metatarsalgia and painful fifth toe deformity. Two patients underwent revision operation and in two instances additional operation was requested. Resection of the distal fifth metatarsal is not recommended for initial operative treatment of the bunionette.