J Korean Foot Ankle Soc.  2010 Jun;14(1):31-35.

Surgical Treatment for Plantar Keratosis Using Vertical Chevron Osteotomy

• Yoo SH
• Kim BH
• Song MH
• Ahn SJ
• Lee MS
• Kang SW

Abstract

PURPOSE
Painful plantar callosities under the second, third or fourth metatarsal head have been controverted about its treatment mordalities. We performed the vertical chevron osteotomy in patients with painful callosities on the second and third metatarsal head, and evaluated the outcome clinically.
MATERIALS AND METHODS
Fourteen cases from 10 patients who had plantar keratosis were operated by vertical chevron osteotomy from March 2005 to October 2008. We used K-wire fixation for all cases. We evaluated the clinical results by the patients' satisfaction and disappearance of plantar lesion.
RESULTS
The plantar keratosis was completely disappeared in 8 cases and partially in 5 cases. In 2 cases, patients expresses their pain caused by constant metatarsalgia that was suspected to be dorsal incisional pain and joint capsulitis. Transmetatarsalgia was not appeared.
CONCLUSION
We consider vertical chevron osteotomy as a good surgical method for treatment of plantar keratosis.

Keyword

Metatarsal head; Plantar keratosis; Metatarsal osteotomy

MeSH Terms

Callosities
Head
Humans
Joints
Keratosis
Metatarsal Bones
Metatarsalgia
Osteotomy