AI Article Synopsis
- Weil osteotomy (WO) is the leading surgical method globally for treating mechanical metatarsalgia, particularly related to issues with metatarsal length and positioning.
- Most studies showcase positive outcomes from WO, though it can lead to complications like floating toes, prompting advancements in the technique.
- The triple-cut WO was created to improve results by allowing for metatarsal shortening without moving the metatarsal head downward, and other WO variations are used for different forefoot issues.
Article Abstract
Weil osteotomy (WO) is the most common technique worldwide for the treatment of mechanical metatarsalgia. The main indication for WO is propulsive/third rocker metatarsalgia that is in relation with an abnormal length of a certain metatarsal with respect to the neighboring metatarsals in the frontal plane. Most clinical studies have showed good to excellent results after WO. However, complications such as floating toes led to evolution of WO and the development of the triple-cut WO that allows for shortening coaxial to the shaft without plantar translation of metatarsal head. Other variations of WO may treat other forefoot disorders.
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| http://dx.doi.org/10.1016/j.fcl.2019.08.009 | DOI Listing |
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