Figure 3: Illustration of an arthritic metatarsal with dorsal osteophytes. The cheilectomy is performed first followed by the proximal phalanx osteotomy with an oscillating 0.5 cm blade. A Kirschner wire inserted parallel to the joint surface guides the first cut. The second cut is made obliquely 5 mm distal to the first cut, and a wedge of bone is resected. After the osteotomy is completed, the reduction is reduced and provisionally held with a Kischner wire until secured with fixation of choice