Special Focus: The Bunionette DeformityDistal Fifth Metatarsal Chevron Osteotomy for Bunionette CorrectionGrebing, Brett R. MDAuthor Information The Center for Advanced Orthopedics, Maryville, IL Address correspondence and reprint requests to Brett R. Grebing, MD, The Center for Advanced Orthopedics, State Route 162, Suite 123, Maryville, IL 62062. E-mail: grebingbr@C4AO.net. Techniques in Foot & Ankle Surgery: March 2010 - Volume 9 - Issue 1 - p 5-8 doi: 10.1097/BTF.0b013e3181d0e791 Buy Metrics Abstract Bunionette deformity with a large metatarsal head, mild increase in lateral bowing of the fifth metatarsal shaft, or mild increase in the 4-5 intermetatarsal angle may be effectively treated with a distal soft-tissue realignment procedure and distal chevron osteotomy. Keys to successful outcome include meticulous attention to the soft-tissue repair and adequate preoperative workup to ensure that appropriate indications are met. © 2010 Lippincott Williams & Wilkins, Inc.