Distal metatarsal osteotomy for intractable plantar keratoses

A relatively simple distal osteotomy of the metatarsal necks is presented. Twenty-one feet were followed for an average of 31 months with a diagnosis of intractable plantar keratosis causing metatarsalgia. A treatment plan is given that indicates which metatarsals to osteotomize, depending on location of the keratosis. Results and complications are discussed.