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An 'osteotomy' is an operation when the bone, in this case, the metatarsal bone is divided and 'moved' into the correct position. The bony bump is usually trimmed at the same time. The operation aims to narrow the forefoot.
Because the operation involves cutting the bone, it is held in position afterwards with screws or pins until the bone heals together again. During this time, foot is usually protected in a special post-operative shoe.