Is Second Metatarsal Shortening Osteotomy Necessary With Concomitant First Metatarsophalangeal Joint Arthrodesis? A Case-Control Study

Sakkab, Ramez; Radcliffe, Michael; Bustos, Lindsey; E. McAlister, Jeffrey; Flynn, Zachary

doi:10.1177/19386400251382149

Public

Is Second Metatarsal Shortening Osteotomy Necessary With Concomitant First Metatarsophalangeal Joint Arthrodesis? A Case-Control Study

Published in Foot & Ankle Specialist • Nov 12, 2025

Authors:

Ramez Sakkab

Michael Radcliffe

Lindsey Bustos

Abstract

First metatarsophalangeal joint arthrodesis is a common surgical intervention for end-stage hallux rigidus and valgus. Such cases can be complicated by disruptions in the metatarsal parabola, particularly an elongated second metatarsal. Some experts advocate for a shortening osteotomy of long metata...

Subject

Hallux rigidus

Medicine

Arthrodesis

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