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  • Following my long thought-about decision to go ahead and have cosmetic surgery (for months I did my homework to ensure that I was going to be in the hands of one of the most reputable facility), I Parish 75, USA

United States
  • I have been to many places just to see and choose where I could have surgery.  I decided on BHMG because they truelly stand out when you visit their location in Manila.  The place looks and smells clean and the facility really does l...

    ryetyu, USA
    United States
  • I wish I could remember the names of my nurse, anaesthesiologist & surgeon to personally thank them.  They were professional, caring and helpful! 

    S. Muhlenkim
  • Just returned from surgery.  BHMG was amazing and has to be the cleanest facility I have ever been to.  The recovery suite had the most comfortable bed I had slept in - ever.  The nursing staff was unbeli...

    Tomas V., U.S.A
    United States
  • I gave them a call and emailed, and was quite impressed with their full transparency nothing to hide here. cant wait to give them a visit maybe then ill come back and add another star.

    Tita Ann, Hawaii
    United States
  • They were very informative and helpful.

  • V-Osteotomy

    What is V-Osteotomy?

    V-osteotomy provides the most options for correction of complex foot deformities. Percutaneous technique is most especially useful for the complex foot deformity that has poor skin coverage, with poor blood supply.

    Effects of V-Osteotomy

    The V-Osteotomy procedure delivers good results, with rapid healing and no dorsal malunions.

    Candidates for V-Osteotomy

    Ideal candidates for a V-Osteotomy procedure are those with complex foot deformity. This condition can be described as a foot with multi-planar abnormalities with or without shortening of the foot.

    Your Consultation

    During the initial consultation, BHMGs Board Certified Surgeon will ask for a complete medical history and will conduct a careful examination to evaluate your overall health.

    The V-Osteotomy Procedure

    V-osteotomy for lesser metatarsals uses a v cut as close to the transverse plane as possible. A K-wire is placed dorsally and centrally just proximal to the cartilage surface at an acute angle approximating the weight-bearing surface. The metatarsal is then V cut with an oscillating saw at about 60 degrees following this apical axis guide. This lessens, and may even negate, any dorsi-flexion of the metahead, causing floating toes. You can slide the head proximal to shorten and fixating with a threaded k-wire is effortlessly performed.


    What are the advantages of V-Osteotomy?

    The benefits of this procedure include low morbidity, good stability with early weight-bearing, no need for internal fixation, and ability to adjust alignment with post-operative cast. Also, healing is relatively quick, about two months. Plus the range of motion returns to pre-operative values around two months after cast removal. This technique proved helpful for deformities in both young and old patients with osteoarthritis.

    What specific foot deformities can V-Osteotomy correct?

    A V-type osteotomy of the foot can be performed to correct the hind foot and forefoot separately.