TY  - JOUR
T1  - Distal Minimally Invasive Metatarsal Osteotomy (“DMMO”) Procedure
AU - Mohamed, Zakir AU - Mathew, K.C. AU - Ram, R. AU - Annamalai, T.T. AU - Rohin, G. AU - Paul, Kiran 
JO  - International Journal of Tropical Medicine
VL  - 19
IS  - 4
SP  - 220
EP  - 224
PY  - 2024
DA  - 2001/08/19
SN  - 1816-3319
DO  - makijtm.2024.4.220.224
UR  - https://makhillpublications.co/view-article.php?doi=makijtm.2024.4.220.224
KW  - Distal minimally invasive osteotomy
KW  - DMMO
KW  - metatarsalgia
KW  - percutaneous foot surgery
KW  - metatarsal correction
KW  - lesser ray osteotomy
KW  - weil osteotomy alternative
KW  - transfer metatarsalgia
KW  - foot biomechanics
KW  - GRECMIP technique
AB  - <p style="text-align:justify">Metatarsalgia, a common cause of forefoot pain, often necessitates surgical correction when conservative measures fail. The distal minimally invasive metatarsal osteotomy (DMMO) has emerged as a preferred technique due to its soft tissue‐sparing approach and capacity for multiplanar correction without fixation. This article evaluates the surgical principles, technical modifications and clinical outcomes associated with the DMMO procedure in the treatment of central metatarsalgia, with emphasis on its biomechanical rationale, evolving applications and comparison with traditional osteotomies. A detailed account of surgical technique, anatomical considerations and operative outcomes was developed, including procedural variations such as distal intracapsular (DICMO) and distal oblique (DOMMO) osteotomies. Observations regarding healing, complications and patient‐reported functionality were integrated to inform technique selection and postoperative management. The DMMO allows precise, extraarticular osteotomy with dynamic correction under physiological load. It avoids fixation, supports early weight bearing and enables self‐adjustment of metatarsal alignment. Healing rates are consistently high, with low incidence of stiffness, nonunion, or transfer lesions. Comparative outcomes with Weil osteotomy favor DMMO in terms of joint motion and complication profile. The DMMO represents a safe, effective, and biomechanically sound approach to managing metatarsalgia, particularly in patients requiring multiplanar correction with joint preservation. Its minimally invasive philosophy supports functional recovery and broadens the scope of forefoot reconstruction strategies.</p>

ER  -