Percutaneous distal osteotomy of the lesser metatarsals. A and B, Incision. C-E, Osteotomy performed with micromotorized bone-cutter. F, Completion of osteotomy confirmed fluoroscopically. (From Magnan B, Bonetti I, Negri S, et al: Percutaneous distal osteotomy of lesser metatarsals (DMMO) for treatment of metatarsalgia with metatarsophalangeal instability, Foot Ankle Surg 24:400, 2018.) SEE TECHNIQUE 84.3.