Complications of lesser metatarsal surgery.

Complications of lesser metatarsal surgery are the result of inappropriate procedure choice, poor surgical technique, inadequate fixation, or a lack of patient compliance. Postoperative complications include transfer lesions, malunion, delayed union, nonunion, displacement of fixation devices, and resultant digital contracture. Despite good results with treatment of tailor's bunion deformities, results of osteotomies of the central three metatarsals are inconsistent. Conservative care is preferred for treatment of plantar hyperkeratoses.