Background: The role of concomitant Weil osteotomy to address second toe metatarsalgia during hallux valgus correction is unclear. We aimed to critically analyse outcomes of an additional Weil osteotomy versus isolated Scarf osteotomy.in the management of hallux valgus and second metatarsalgia.
Methods: Patients with second toe metatarsalgia who underwent first metatarsal Scarf osteotomy for hallux valgus were enrolled retrospectively. Demographics, radiographic measurements and functional outcomes were assessed at baseline, 6-months and 2-years postoperatively. Between-group significance was established with Fisher exact test, Chi-square or Mann-Whitney U test. Within-group changes from baseline were assessed with paired t-test and Wilcoxon signed-rank test.
Results: 48 feet (34 isolated Scarf, 14 concomitant Weil osteotomy) were included. Both cohorts demonstrated significant improvements across all measures of functional outcome. However, patients with additional Weil osteotomy reported poorer short-term outcomes.
Conclusion: Superiority of additional Weil osteotomy versus isolated Scarf osteotomy in addressing second toe metatarsalgia or improving functional outcomes was not demonstrated.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1016/j.fas.2022.08.001 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Radiologic Outcomes of Plantar Plate Repair through a Plantar Approach for the Dislocated Metatarsophalangeal Joint of the Lesser Toe.
Clin Orthop Surg
December 2024
Department of Orthopedic Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
Background: A torn plantar plate (PP) is important pathologic anatomy related to a dislocated or subluxated metatarsophalangeal joint (MTPJ). Traditionally, a torn PP was treated with Weil osteotomy through a dorsal approach. However, because of the limited visualization of the dorsal approach, PP repair through a plantar approach has been proposed as a new technique.
View Article and Find Full Text PDFOsteotomy Site Venting Enhances Femoral Bone Consolidation With Magnetic Intramedullary Lengthening Nails.
Clin Orthop Relat Res
November 2024
Department of Pediatric Orthopedic Surgery, Dana Dwek Children's Hospital, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.
Article Synopsis
- Magnetic intramedullary lengthening nailing offers advantages over external fixation for femoral bone lengthening, such as reducing discomfort and minimizing risks of infections and muscle issues.
- A retrospective study aimed to investigate whether venting the femoral intramedullary canal enhances bone regeneration quality and affects complication rates compared to nonventing procedures.
- The study analyzed 61 femoral lengthening surgeries and evaluated outcomes like bone healing time and complications, revealing that the relationship between venting and consolidation of bone remains uncertain.
Weil's osteotomy versus distal metatarsal metaphyseal osteotomy for the treatment of metatarsalgia. A metaanalysis of outcome and complications.
Foot (Edinb)
September 2024
Creta Interclinic Hospital, Leoforos Minoos 63, 71304, Greece.
Article Synopsis
- This study compares two surgical methods, Weil's osteotomy (WO) and distal metatarsal metaphyseal osteotomy (DMMO), for treating metatarsalgia, aiming to analyze outcomes and complications through a meta-analysis of existing literature.
- Both techniques have their drawbacks: WO can cause stiffness and floating toe, while DMMO can lead to delayed union or malunion and prolonged swelling.
- The analysis of four studies with 211 patients found that both techniques showed similar safety and effectiveness, but more high-quality research is needed for conclusive results.
Advances in the Causes and Treatment of Floating Toes after the Weil Osteotomy: A Scoping Review.
Orthop Surg
June 2024
Wangjing Hospital, China Academy of Chinese Medical Sciences, Beijing, China.
Article Synopsis
- The floating toe deformity is a forefoot condition where the tip of the toe is elevated off the ground, especially common in children under 8, often resolving as they grow older.
- Increased severity of this condition can negatively impact a person's walking and overall quality of life, yet there is limited research on its causes and preventative measures.
- This review analyzed 62 articles following the PRISMA-ScR guidelines, focusing on treatment options and the structural changes associated with the condition, based on insights from foot and ankle surgery experts.
Radiographic Evidence of Sufficient Transverse Plane Alignment after Weil Osteotomy without Screw Fixation.
J Clin Med
January 2024
Department of Foot and Ankle Surgery, Berufsgenossenschaftliche Unfallklinik Frankfurt am Main, 60389 Frankfurt, Germany.
Weil osteotomy is a proven procedure to restore the harmonic distal parabola of the forefoot. In addition to the proximal displacement of the head in the sagittal plane, a displacement in the transverse plane may be necessary, with the refixation of the displaced metatarsal head historically performed by screw fixation. We aimed to determine the radiological differences among 136 feet of 127 patients with 256 Weil osteotomies retrospectively enrolled and divided into groups with (n = 182) and without (n = 74) screw fixation.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!