Research Article

Medium-Long-Term Clinical and Radiographic Outcomes of Minimally Invasive Distal Metatarsal Metaphyseal Osteotomy (DMMO) for Central Primary Metatarsalgia: Do Maestro Criteria Have a Predictive Value in the Preoperative Planning for This Percutaneous Technique?

Figure 2

Distal Metatarsal Metaphyseal Osteotomy (DMMO): dissection of the dorsum of the foot showing the extensor apparatus and the innervation pattern of the foot and toes. Blue circles highlight the incision points for percutaneous DMMO (A). Bone preparation of an ideal DMMO procedure performed at the level of the M-neck and the final result showing the shortening and elevation of the M-head (B). Weight-bearing lateral radiographic view showing the site of the DMMO (red arrow) on each lesser MB; green arrow corresponds to Reverdin-Isham osteotomy for HV correction during the same operation (C).