, Volume 30, Issue 3, pp 170–177 | Cite as

Tailor’s bunion: revisione della recente letteratura nelle tecniche mini-invasive

  • P. Ceccarini
  • A. Nardi
  • G. Rinonapoli
  • M. Palleri
  • P. Antinolfi
  • G. Colleluori
  • E. Pennesi
  • A. Caraffa

Tailor’s bunion: topical review of minimally invasive techniques


The purpose of this study was to review the most recent literature available on the treatment of bunionette (also named tailor’s bunion) with percutaneous and mini-invasive techniques. A topical review of the PubMed/MEDLINE, EMBASE and Google Scholar databases was conducted in December 2015 utilising the keywords percutaneous (OR mini invasive OR minimally invasive) AND bunionette (OR tailor’s bunion) AND treatment (OR surgery). Studies that reported the outcomes of the surgical treatment of bunionette were included in our review. The search yielded a total of 111 publications from PubMed/MEDLINE, EMBASE and Google Scholar. After abstract and full-text review, 9 articles were included in this review. Treatment methods were placed into two broad surgical treatment categories: with or without fixation of the osteotomy. The most common treatment strategy employed was with fixation. The pooled rates of success for the techniques with fixation and without fixation were respectively 93.5 and 97.8. The current evidence on the treatment of bunionette deformity is limited to retrospective case series. Future high-level studies are required to distinguish the most appropriate treatment for this type of deformity.


Conflitto di interesse

Gli autori P. Ceccarini, A. Nardi, G. Rinonapoli, M. Palleri, P. Antinolfi, G. Colleluori, E. Pennesi e A. Caraffa dichiarano di non avere alcun conflitto di interesse.

Consenso informato e conformità agli standard etici

Tutte le procedure descritte nello studio e che hanno coinvolto esseri umani sono state attuate in conformità alle norme etiche stabilite dalla dichiarazione di Helsinki del 1975 e successive modifiche. Il consenso informato è stato ottenuto da tutti i pazienti inclusi nello studio.

Human and Animal Rights

L’articolo non contiene alcuno studio eseguito su esseri umani e su animali da parte degli autori.


  1. 1.
    Lowell W Jr, Lowell SW Sr (2011) Osteotomies for bunionette deformity. Foot Ankle Clin N Am 16:689–712 CrossRefGoogle Scholar
  2. 2.
    Okuda R, Kinoshita M, Morikawa J et al. (2002) Proximal dome-shaped osteotomy for symptomatic bunionette. Clin Orthop Relat Res 396:173–178 CrossRefGoogle Scholar
  3. 3.
    Davies H (1949) Metatarsus quintus valgus. Br Med J 1:664–665 CrossRefPubMedPubMedCentralGoogle Scholar
  4. 4.
    Du Vries HL (1965) Surgery of the foot, 2nd edn. CV Mosby, St Louis, pp 456–462 Google Scholar
  5. 5.
    Coughlin MJ (1991) Treatment of bunionette deformity with longitudinal diaphyseal osteotomy with distal soft tissue repair. Foot Ankle 11:195–203 CrossRefPubMedGoogle Scholar
  6. 6.
    Nestor BJ, Kitaoka HB, Ilstrup DM et al. (1990) Radiologic anatomy of the painful bunionette. Foot Ankle 11:6–11 CrossRefPubMedGoogle Scholar
  7. 7.
    Fallat LM, Buckholz J (1980) An analysis of the tailor’s bunion by radiological and anatomical display. J Am Podiatry Assoc 70:597–603 CrossRefPubMedGoogle Scholar
  8. 8.
    Michels F, Guillo S, GRECMIP (2012) Tailor’s bunionectomy. In: Saxena A (ed) International advances in foot and ankle surgery. Springer, London, pp 99–106 CrossRefGoogle Scholar
  9. 9.
    Weil L Jr, Consul D (2015) Fifth metatarsal osteotomies. Clin Podiatr Med Surg 32(3):333–353 CrossRefPubMedGoogle Scholar
  10. 10.
    Roukis TS (2005) The Tailor’s bunionette deformity: a field guide to surgical correction. Clin Podiatr Med Surg 22:223–245 CrossRefPubMedGoogle Scholar
  11. 11.
    Glover J, Weil L Jr, Weil L Sr (2009) Scarfette osteotomy for surgical treatment of bunionette deformity. Foot Ankle Spec 2(2):73–78 CrossRefPubMedGoogle Scholar
  12. 12.
    Vienne P, Oesselmann M, Espinosa N et al. (2006) Modified Coughlin procedure for surgical treatment of symptomatic tailor’s bunion: a prospective followup study of 33 consecutive operations. Foot Ankle Int 27(8):573–580 CrossRefPubMedGoogle Scholar
  13. 13.
    Isham SA (1991) The Reverdin-Isham procedure for the correction of hallux abducto valgus. A distal metatarsal osteotomy. Clin Podiatr Med Surg 8:81–94 PubMedGoogle Scholar
  14. 14.
    Bosch P, Makowski H, Rannicher V (1990) Technique and first results of the subcutaneous distal osteotomy of the first metatarsal bone. Orthop Praxis 26:51–56 Google Scholar
  15. 15.
    Bosch P, Wanke S, Legenstein R (2000) Hallux valgus correction by the method of Bosch: a new technique with a seven-to-ten year follow-up. Foot Ankle Clin 5:485–486 PubMedGoogle Scholar
  16. 16.
    De Prado M, Ripoll PL, Golano P (2003) Cirugía percutanea del pie. Técnicas quirúrgicas, indicaciones, bases anatomicas, 1st edn. Masson/Elsevier, Barcelona, pp 129–148 Google Scholar
  17. 17.
    Bauer T (2014) Percutaneous forefoot surgery. Orthop Traumatol Surg Res 100(1Suppl):S191–S204 CrossRefPubMedGoogle Scholar
  18. 18.
    Ajis A, Koti M, Maffulli N (2005) Tailor’s bunion: a review. J Foot Ankle Surg 44(3):236–245 CrossRefPubMedGoogle Scholar
  19. 19.
    Louwerens JW, Valderrabano V, Wintson I (2011) Minimally invasive surgery (MIS) in foot and ankle surgery. Editor J Foot Ankle Surg 17:51 CrossRefGoogle Scholar
  20. 20.
    Redfern D, Vernois J, Legré BP (2015) Percutaneous surgery of the forefoot. Clin Podiatr Med Surg 32(3):291–332 CrossRefPubMedGoogle Scholar
  21. 21.
    Roukis TS (2009) Percutaneous and minimum incision metatarsal osteotomies: a systematic review. J Foot Ankle Surg 48(3):380–387 CrossRefPubMedGoogle Scholar
  22. 22.
    Maffulli N, Longo UG, Marinozzi A, Denaro V (2011) Hallux valgus: effectiveness and safety of minimally invasive surgery. A systematic review. Br Med Bull 97:149–167 CrossRefPubMedGoogle Scholar
  23. 23.
    Moher D, Liberati A, Tetzlaff J et al. (2009) Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med 6:e123–e130 CrossRefGoogle Scholar
  24. 24.
    Wright JG, Swiontkowski MF, Heckman JD (2003) Introducing levels of evidence to the journal. J Bone Jt Surg Am 85:1–3 CrossRefGoogle Scholar
  25. 25.
    Kitaoka HB, Alexander IJ, Adelaar RS et al. (1994) Clinical rating systems for the ankle-hindfoot, midfoot, hallux, and lesser toes. Foot Ankle Int 15:349–353 CrossRefPubMedGoogle Scholar
  26. 26.
    Hawker GA, Mian S, Kendzerska T, French M (2011) Measures of adult pain: visual analog scale for pain (VAS pain), numeric rating scale for pain (NRS pain), McGill pain questionnaire (MPQ), short-form McGill pain questionnaire (SF-MPQ), chronic pain grade scale (CPGS), short form-36 bodily pain scale (SF-36 BPS), and measure of intermittent and constant osteoarthritis pain (ICOAP). Arthr Care Res (Hoboken) 63(Suppl 11):S240–S252 CrossRefGoogle Scholar
  27. 27.
    Laffenêtre O, Millet-Barbé B, Darcel V et al. (2015) Percutaneous bunionette correction: results of a 49-case retrospective study at a mean 34 months’ follow-up. Orthop Traumatol Surg Res 101(2):179–184 CrossRefPubMedGoogle Scholar
  28. 28.
    Magnan B, Samaila E, Merlini M et al. (2011) Percutaneous distal osteotomy of the fifth metatarsal for correction of bunionette. J Bone Jt Surg Am 93(22):2116–2122 CrossRefGoogle Scholar
  29. 29.
    Martinelli B, Valentini R (2007) Correction of valgus of fifth metatarsal and varus of the fifth toes by percutaneous distal osteotomy. Foot Ankle Surg 13:136–139 CrossRefGoogle Scholar
  30. 30.
    Michels F, Van Der Bauwhede J, Guillo S et al. (2013) Percutaneous bunionette correction. Foot Ankle Surg 19(1):9–14 CrossRefPubMedGoogle Scholar
  31. 31.
    Giannini S, Faldini C, Vannini F et al. (2008) The minimally invasive osteotomy “S.E.R.I.” (simple, effective, rapid, inexpensive) for correction of bunionette deformity. Foot Ankle Int 29(3):282–286 CrossRefPubMedGoogle Scholar
  32. 32.
    Legenstein R, Bonomo J, Huber W, Boesch P (2007) Correction of Tailor’s bunion with the Boesch technique: a retrospective study. Foot Ankle Int 28(7):799–803 CrossRefPubMedGoogle Scholar
  33. 33.
    Lui TH (2014) Percutaneous osteotomy of the fifth metatarsal for symptomatic bunionette. J Foot Ankle Surg 53(6):747–752 CrossRefPubMedGoogle Scholar
  34. 34.
    Waizy H, Olender G, Mansouri F et al. (2012) Minimally invasive osteotomy for symptomatic bunionette deformity is not advisable for severe deformities: a critical retrospective analysis of the results. Foot Ankle Spec 5(2):91–96 CrossRefPubMedGoogle Scholar
  35. 35.
    Weitzel S, Trnka HJ, Petroutsas J (2007) Transverse medial slide osteotomy for bunionette deformity: long-term results. Foot Ankle Int 28(7):794–798 CrossRefPubMedGoogle Scholar
  36. 36.
    Faraj AA, Naraen A, Twigg P (2007) A comparative study of wire fixation and screw fixation in arthrodesis for the correction of hallux rigidus using an in vitro biomechanical model. Foot Ankle Int 28:89–91 CrossRefPubMedGoogle Scholar
  37. 37.
    Diebold PF (1991) Basal osteotomy of the fifth metatarsal for the bunionette. Foot Ankle 12:74–79 CrossRefPubMedGoogle Scholar
  38. 38.
    Ibrahim T, Beiri A, Azzabi M et al. (2007) Reliability and validity of the subjective component of the American Orthopaedic Foot and Ankle Society clinical rating scales. J Foot Ankle Surg 46:65–74 CrossRefPubMedGoogle Scholar
  39. 39.
    Ware JE Jr, Sherbourne CD (1992) The MOS 36-item short-form health survey (SF-36), I. Conceptual framework and item selection. Med Care 30(6):473–483 CrossRefPubMedGoogle Scholar
  40. 40.
    Budiman-Mak E, Conrad KJ, Roach KE (1991) The Foot Function Index: a measure of foot pain and disability. J Clin Epidemiol 44(6):561–570 CrossRefPubMedGoogle Scholar
  41. 41.
    Richter M, Zech S, Geerling J et al. (2006) A new foot and ankle outcome score: questionnaire based, subjective, Visual-Analogue-Scale, validated and computerized. Foot Ankle Surg 12(4):191–199. CrossRefGoogle Scholar

Copyright information

© Società Italiana Ortopedici Traumatologi Ospedalieri d’Italia 2016

Authors and Affiliations

  • P. Ceccarini
    • 1
  • A. Nardi
    • 1
  • G. Rinonapoli
    • 1
  • M. Palleri
    • 1
  • P. Antinolfi
    • 1
  • G. Colleluori
    • 1
  • E. Pennesi
    • 1
  • A. Caraffa
    • 1
  1. 1.Clinica Ortopedica e Traumatologica, Ospedale SM Misericordia, e Scuola di Specializzazione Ortopedia e TraumatologiaUniversità degli Studi di PerugiaPerugiaItalia

Personalised recommendations