Hermida GLF

Language: Spanish
References: 7
Page: 118-122
PDF size: 122.75 Kb.

ABSTRACT

Background: Mechanic metatarsalgia should be classified depending on the gait phase where they have their origin (1^st, 2^nd or 3^rd Rocker). Metatarsal osteotomies have been studied and used around the world with satisfactory clinical results. In the current article the results of patients treated with triple metatarsal osteotomy described by Maceira are shown. Methods: This is a retrospective, longitudinal and observational study of 19 patients (24 feet) treated between 2009 and 2012 with the triple metatarsal osteotomy, 35 osteotomies were done. Sixteen women and 3 men were evaluated pre and postoperatively with a visual analog scale (VAS) and a weight bearing X ray of the foot. Results: 19 patients, 16 women and 3 men with an average age of 59.7 years old (47 to 70). Follow up was at 25.4 months (6 to 36) and clinical pain evaluation with a VAS was 8/10 preoperatively and 1.1/10 postoperatively. Fourteen of the 24 feet had metatarsal-phalangeal luxation. Metatarsal-phalangeal stiffness was present in 4 joints. Complications included: aesthetic inconformity, floating toes (2), dystrophy (1), wound dehiscence (1), transfer metatarsalgia to the 4^th (1). Conclusion: Triple Weil osteotomy is a logical alternative for metatarsalgia treatment where shortening of the lesser metatarsals are needed. It also provides a plantar decompression because of the subtle metatarsal elevation it produces.

REFERENCES

1. Maceira E. Aproximación al estudio del paciente con metatarsalgia. Rev Pie Tobillo 2003; 17: 14-29.

2. Maceira E, Farinas F, Tena J et al. Análisis de la rigidez metatarsofalángica en la osteotomía de Weil. Rev Med Cir Pie 1998; 12: 35-40.

3. A New Approach for the treatment of metatarsalgia: The triple Weil osteotomy. Tech Foot Ankle Surg 2007; 6(4): 254-263.

4. Leliévre J, Leliévre JF. Pathologie du pied [Pathology of the foot]. 5th edition. Paris, France: Masson; 1981: 528-560.

5. Maestro M, Besse JL, Ragusa M, Berthonnaud, E. Forefoot morphotype study and planning method for forefoot osteotomy. Foot Ankle Clin 2003; 8: 695-710.

6. Pérez-Muñoz I, Escobar-Antón D, Sanz-Gómez TA. The role of Weil and triple Weil osteotomies in the treatment of propulsive metatarsalgia. Foot Ankle Int 2012; 33(6): 501-506.

7. Migues A, Slullitel G, Bilbao F, Carrasco M, Solari G. Floating toe deformity as a complication of the Weil osteotomy. Foot Ankle Int 2004; 25: 609-613.