The Weil osteotomy for median metatarsalgia. A short-term study

García-Rey, E.; Caño, Julián García del; Guerra, Porfírio Candanedo; Sanz-Hospital, F.J.

doi:10.1016/j.fas.2004.07.002

Cited by 11 publications

(5 citation statements)

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“…3,4 Recurrence of symptoms and the development of transfer lesions following the Weil osteotomy are reported less often than floating toe, yet a definitive correlation with metatarsal shortening has not been established. [5][6][7][8] Joint stiffness and decreased range of motion are frequently the most commonly reported complication in a series 9 but are inconsistently reported between series. Because of the use of internal fixation and a large area of bone contact, the incidence of delayed union, malunion, and nonunion are consistently minimal and are generally reported in patients with significant comorbities.…”

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confidence: 99%

Complications of the Weil Osteotomy

Highlander

VonHerbulis

Gonzalez

et al. 2011

Foot & Ankle Specialist

106

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Introduction. The Weil osteotomy is commonly used for multiple forefoot pathologies yielding metatarsalgia. Despite its common use, the Weil osteotomy is associated with a high complication rate. Methods. A literature review was undertaken with predetermined criteria. To maximize the articles for review, prospective and retrospective studies were considered as well as multiple indications. Seventeen articles qualified for analysis, and study format, patient demographics, surgical indication, and complication rates were documented. The data obtained were totaled and evaluated for trends. Results. Details of 1131 Weil osteotomies are reported. The most commonly reported complication of the Weil osteotomy was floating toe, reported in 233 cases, with an overall occurrence of 36%. Recurrence was reported in 15% of the cases. Transfer metatarsalgia was reported in 7% of the cases, whereas delayed union, non-union, and malunion were collectively reported in 3% of the cases. Discussion. There is no consensus regarding utilization of the Weil osteotomy with prophylactic surgery, plantar plate repair, and adjunctive interphalangeal arthrodesis. These variables may alter complication rates and provide new avenues for research.

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confidence: 99%

Complications of the Weil Osteotomy

Highlander

VonHerbulis

Gonzalez

et al. 2011

Foot & Ankle Specialist

106

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“…A radiographically confirmed delay or permanent nonunion was not documented in any of our cases, as seen in the minimally invasive procedure compared to the conventional Weil osteotomy in a study by Rivero-Santana et al [18]. In contrast, the studies by Vandeputte et al from 2000 and García-Ray et al from 2004 already showed that Weil osteotomies, which were regularly performed open at that time, healed completely without nonunion [19,20]. A review by Pascual Huerta reads as follows: "Most of these techniques were based in the execution of one or more highly unstable metatarsal osteotomies without fixation followed by immediate weightbearing and whose results in the elevation or shortening of the metatarsal heads were often unpredictable" [21].…”

Section: Discussionmentioning

confidence: 53%

Radiographic Evidence of Sufficient Transverse Plane Alignment after Weil Osteotomy without Screw Fixation

Ram,

Schippers,

Neun

et al. 2024

JCM

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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. Demographic data, radiographic union, pre- and postoperative metatarsal angles, and differences in the dorsoplantar view were evaluated. The mean follow-up period was 3.6 months. The mean preoperative metatarsophalangeal angle was 9.24°, and the mean postoperative angle was 12.99°. The restoration of the transversal alignment plane was equally successful in both groups, with a mean extent of angle correction of 10.58°. No nonunions of the osteotomized metatarsals were observed. The radiographic comparisons revealed no significant difference between the groups (p > 0.05). However, visibility of the joint space of the metatarsophalangeal joint was achieved significantly more often in the group without screw fixation (p < 0.05). In the absence of bony malunion and the satisfactory restoration of a harmonious parabola of the forefoot, apparently there does not appear to be a necessity for regular screw fixation after Weil osteotomy based on the available data from the present study.

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“…Different authors have obtained good results with the Weil osteotomy for the treatment of central radii metatarsalgia, with good clinical results ranging from 65% reported by Jarde 12 to 93.75% by García-Rey. 8 Table 5 shows that, in general, smaller series have better results. In the present study we obtain 80% good results, similar to other authors 3,19,23 -24 with it being the largest published series evaluating the Weil and triple Weil osteotomy.…”

Section: Discussionmentioning

confidence: 95%