Surgical Correction of Metatarsus Adductus

We report the results of 31 cases of metatarsus adductus treated by an original procedure consisting of partial capsulotomy of the first cuneiform metatarsal joint, sectioning of the abductor hallucis brevis, and dome-shaped osteotomy of the proximal metaphysis of the second, third, and fourth metatarsals. The results were good in 29 cases. The two poor results were in serpentine feet. This procedure is appropriate for persistent congenital metatarsus adductus and for residual metatarsus adductus in clubfeet.