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?

Table 1

Classification of forefoot morphotypes according to Maestro criteria, including the added unclassified ones.

Forefoot Morphotypes	Maestro Radiographic Parameters	Percentage usually in the normal population	Study Cohort
			Preoperative	Last Follow-up
Harmonious	Harmonious Geometrical progression of 2 of the lesser M-bones with tolerance of 20% (±1 mm for M2M3 and M3M4, ± 2mm for M4M5)	31%	7.5%; (7/93)	3.2%; (3/93)
Non-harmonious 1	M2M3 increased with M3M4 and M4M5 normal; M2M3 decreased with M3M4 increased and M4M5 correct; M2M3 normal with M3M4 increased and M4M5 correct; M2M3 and M3M4 increased with M4M5 correct.	30%	32.3%; (30/93)	20.4%; (19/93)
Non-harmonious 2	M4M5 hypoplasia: M3M4 and M4M5 increased	37%	43%; (40/93)	18.3%; (17/93)
Non-harmonious 3	M1 > M2	2.4%	0%; (0/93)	0%; (0/93)
Unclassified Non-harmonious	Feet that did not reflect any Morphotype	-	17.2%; (16/93)	58.1%; (54/93)