We used subcapital displacement osteotomy of the fifth metatarsal bone
and peg-and-hole fixation to treat a tailor's bunion (bunionette) in
forty-four feet (twenty-seven patients). The result was good in 86 per
cent, fair in 9 per cent, and poor in 5 per cent. All but one of the
patients were satisfied with the result. The average medial displacement of
the head of the fifth metatarsal was five millimeters. In all feet, secure
union was noted in five weeks, and no patient had osteonecrosis of the head
of the fifth metatarsal.