Background
Treatment of metatarsus adductus depends on patient’s age, osseous development, severity, and associated deformities.
Patients and methods
A total of 35 feet that presented with idiopathic severe metatarsus adductus were included. The mean age at the time of operation was 36 months. Abductor hallucis tenotomy was done in all patients.
Results
At final follow-up, 33 (94%) feet had satisfactory outcome, two (6%) feet had unsatisfactory outcome, and 30 feet (30/33) had excellent results, with normal heel bisector line and metatarsal angle (average, 12°; range, 8–14°).
Conclusion
Abductor hallucis tenotomy and casting is effective in the treatment of severe resistant metatarsus adductus.