Due to a very wide splay the fifth metatarsal head may push outwards, causing shoe problems and pressure. This deformity is like a reversed hallux, and we operate this using the mini hallux plate. Advantages are the immediate weight-bearing capacity, no shortenings, and a stable bone assembly (osteosynthesis).
hallux (red arrow) and tailor's bunion (black arrow) plagued this foot.
Solution: After only 1 month there is barely any swelling or pain, the patient is able to walk well. The two V-tek 30 mm plates are visible in the X-ray. These are minimally invasive, i.e. inserted with the smallest cuts.
One more example:
Left: A young patient with a disturbing tailor's bunion(arrow).
Right: After surgery, the cusp is gone, the patient is symptom-free.
X-ray before surgery: The V. metatarsal head rotates outwards and sticks out (arrow).
After the operation: the head was "turned inwards" and shifted by almost a full shaft width to the foot center.
For these smaller conditions with inside-bone dimensions of a few millimeters, we have developed the V-tek microplate. The function and the metatarsophalangeal joint are fully maintained (instead of a pure ablation) and the foot became narrower significantly.
The plate is only a millimeter thick, it does not bother, so can be left there.