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Comparison of early outcome of Weil osteotomy and distal metatarsal mini-invasive osteotomy for lesser toe metatarsalgia. | LitMetric

AI Article Synopsis

  • The study aimed to compare the outcomes of two surgical techniques, Weil osteotomy and distal metatarsal mini-invasive osteotomy (DMMO), in treating lesser toe metatarsalgia over a 6-month period.
  • A total of 33 patients were reviewed, with outcomes assessed using various pain and function scoring systems; both groups had similar demographics and preoperative conditions.
  • Results showed that while the Weil osteotomy group had better mental health scores, the DMMO group maintained better range of motion in the toe joints, suggesting that DMMO is a safe and effective alternative to Weil osteotomy.

Article Abstract

Purpose: To compare the 6-month outcome of Weil osteotomy with distal metatarsal mini-invasive osteotomy (DMMO) in 33 patients with lesser toe metatarsalgia.

Methods: Records of 33 patients who underwent Weil osteotomy (n=20, 41 toes) or DMMO (n=13, 22 toes) for lesser toe metatarsalgia by a single surgeon were reviewed. 25 of them had a concurrent procedure on the 1st toe. Outcome at 6 months was assessed using the visual analogue score (VAS) for pain, American Orthopaedic Foot and Ankle Society (AOFAS) lesser toe metatarsophalangeal-interphalangeal (MTP-IP) score, and the RAND-36 score.

Results: The 2 groups were comparable in terms of age, gender, and preoperative MTP joint range of motion (ROM), VAS for pain, AOFAS lesser toe MTPIP score, and RAND-36 scores. At 6 months, the Weil osteotomy group had a higher RAND-36 (mental) score (92 vs. 78, p=0.026), and the DMMO group had a higher percentage of toes with greater MTP joint ROM (p=0.043). All patients achieved bone union within 6 months. Two patients in the DMMO group had prolonged oedema until 3 months post-surgery.

Conclusion: DMMO is a safe and reliable alternative to Weil osteotomy for metatarsalgia and can preserve ROM of the MTP joints.

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Source
http://dx.doi.org/10.1177/1602400315DOI Listing

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