The procedure is performed by dorsal approach,
starting with the inter-metatarsal interspace
There is a good exposure to cut between the
two extensor tendon muscles, extending as distally
as possible (1, 2)
The bone cuts should be as parallel (horizontal)
to the sole as possible
usually about 25 degrees (3)
In the case of pes planus, the cut may be
too long (4), whereas in pes cavus, the cut
may be too short (5). Therefore, it is necessary
to adapt the cuts to the condition of the forefoot.
