Comparative study of the Weil osteotomy with and without fixation

García-Fernández, David; Gil-Garay, E.; Lora-Pablos, David; De-la-Cruz-Bértolo, J.; Llanos-Alcázar, Luis Fernando

doi:10.1016/j.fas.2010.02.001

Cited by 27 publications

(12 citation statements)

References 16 publications

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“…In the last fifteen years, DMMO became popular in Europe by the Spanish surgeon De Prado first and then by the GRECMIP (Groupe de Recherche et d'Enseignement en Chirurgie Mini-Invasive du Pied) as an alternative surgical technique to the traditional Weil osteotomy. Because of the perceived potential advantages of a dynamic correction offered by DMMO, and the stiffness and floating toe caused by Weil osteotomy [19], the percutaneous procedure now tends to be preferred over open osteotomies [10, 23]. However, the optimal treatment of metatarsalgia and the restoration of an ideal forefoot morphotype remain controversial [2, 3].…”

Section: Discussionmentioning

confidence: 99%

Medium-Long-Term Clinical and Radiographic Outcomes of Minimally Invasive Distal Metatarsal Metaphyseal Osteotomy (DMMO) for Central Primary Metatarsalgia: Do Maestro Criteria Have a Predictive Value in the Preoperative Planning for This Percutaneous Technique?

Biz

Corradin

Kanah

et al. 2018

BioMed Research International

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Background The purpose of this prospective study was first to evaluate the safety and effectiveness of Minimally Invasive Distal Metatarsal Metaphyseal Osteotomy (DMMO) in treating central metatarsalgia, identifying possible contraindications. The second objective was to verify the potential of DMMO to restore a harmonious forefoot morphotype according to Maestro criteria. Methods A consecutive series of patients with metatarsalgia was consecutively enrolled and treated by DMMO. According to Maestro criteria, preoperative planning was carried out by both clinical and radiological assessment. Patient demographic data, AOFAS scores, 17-FFI, MOXFQ, SF-36, VAS, and complications were recorded. Maestro parameters, relative morphotypes, and bone callus formation were assessed. Statistical analysis was carried out (p < 0.05). Results Ninety-three patients (93 feet) with a mean age of 62.4 (31-87) years were evaluated. At mean follow-up of 58.7 (36-96) months, all of the clinical scores improved significantly (p < 0.0001). Most of the osteotomies (76.3%) had healed by 3-month follow-up, while ideal harmonious morphotype was restored only in a few feet (3.2%). Clinical and radiological outcomes were not different based on principal demographic parameters. Long-term complications were recorded in 12 cases (12.9%). Conclusion DMMO is a safe and effective method for the treatment of metatarsalgia. Although Maestro criteria were useful to calculate the metatarsal bones to be shortened and a significant clinical improvement of all scores was achieved, the ideal harmonious morphotype was restored only in a few feet. Hence, our data show that Maestro criteria did not have a predictive value in clinical outcomes of DMMO.

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Section: Discussionmentioning

confidence: 99%

Medium-Long-Term Clinical and Radiographic Outcomes of Minimally Invasive Distal Metatarsal Metaphyseal Osteotomy (DMMO) for Central Primary Metatarsalgia: Do Maestro Criteria Have a Predictive Value in the Preoperative Planning for This Percutaneous Technique?

Biz

Corradin

Kanah

et al. 2018

BioMed Research International

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“…15 DMMO has been shown to achieve good functional outcome comparable with that of Weil osteotomy. [15][16][17] DMMO is minimally invasive and extra-articular, and thus the risk of disrupting the blood supply at the metatarsal head is minimised. Bone healing is not disrupted as the soft tissue cover is stripped to a minimum.…”

Section: Discussionmentioning

confidence: 99%

Comparison of Early Outcome of Weil Osteotomy and Distal Metatarsal Mini-Invasive Osteotomy for Lesser Toe Metatarsalgia

Yeo

Loh

Chen

et al. 2016

J Orthop Surg (Hong Kong)

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“…32 Garcia-Fernandez et al compared the results of 97 patients with Weil osteotomies either with or without fixation (106 toes with, and 92 toes without) with a twist-off screw and reported no significant difference in results. 33 …”

Section: Operative Treatmentmentioning

confidence: 99%

“…33,35 A floating toe may occur due to the effective shortening of the plantar fascia with a Weil osteotomy, thereby disrupting the reverse windlass mechanism. In an attempt to reduce the incidence of floating toes, Herzog et al performed an osteotomy fixed with a T-plate (33 toes).…”

Section: Operative Treatmentmentioning

confidence: 99%

The pathology and management of lesser toe deformities

2016

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Deformities of the lesser toes are common and can be associated with significant morbidity. These deformities are often multiple, and numerous treatment strategies have been described in the literature.The goal of surgical treatment is to improve symptoms by restoring alignment and function, and avoiding recurrence. In order to achieve this, it is essential for the treating surgeon to understand the normal anatomy and pathology of the various deformities.There is a paucity of prospective studies and randomisedcontrolled trials assessing the efficacy of specific interventions.We describe the normal anatomy and biomechanics of the lesser toes, and the pathology of commonly adult deformities. The rationale behind various treatment strategies is discussed and the results of published literature presented. Algorithms for the management of lesser toe deformities based on current literature are proposed.

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Comparative study of the Weil osteotomy with and without fixation

Cited by 27 publications

References 16 publications

Medium-Long-Term Clinical and Radiographic Outcomes of Minimally Invasive Distal Metatarsal Metaphyseal Osteotomy (DMMO) for Central Primary Metatarsalgia: Do Maestro Criteria Have a Predictive Value in the Preoperative Planning for This Percutaneous Technique?

Medium-Long-Term Clinical and Radiographic Outcomes of Minimally Invasive Distal Metatarsal Metaphyseal Osteotomy (DMMO) for Central Primary Metatarsalgia: Do Maestro Criteria Have a Predictive Value in the Preoperative Planning for This Percutaneous Technique?

Comparison of Early Outcome of Weil Osteotomy and Distal Metatarsal Mini-Invasive Osteotomy for Lesser Toe Metatarsalgia

The pathology and management of lesser toe deformities

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