Category: Lesser Toes Introduction/Purpose: Fifth metatarsal osteotomies for correction of a bunionette deformity are stabilized with a variety of techniques. The fifth metatarsal is a small bone with a unique blood supply and anatomy. Most of the described osteotomies are distal. making stable fixation technically demanding. https://www.roneverhart.com/M-M-s-Peanut-Bulk-25LB-Case/