Surgical Treatment of Metatarsalgia and Severe Instability of Lesser Metatarsophalangeal Joints.
J Foot Ankle Surg
; 63(1): 85-91, 2024.
Article
em En
| MEDLINE
| ID: mdl-37714290
ABSTRACT
The main object of this prospective cohort study was to compare surgical treatment options for primary metatarsalgia and the severe instability of lesser metatarsophalangeal joints. The outcomes of triple Weil osteotomy combined with direct plantar plate repair and triple Weil osteotomy, performed with proximal interphalangeal joint arthrodesis, are analyzed and compared. One hundred thirteen patients (117 feet) were enrolled in the study. They were split into 2 groups. In the first group, undergoing Weil osteotomy, combined with the plantar plate repair, good results, including complete pain reduction, elimination of hyperkeratosis, and American Orthopedic Foot and Ankle Society Score improvement, were achieved in 84.7% of the cases. The second group, where the combination of Weil osteotomy and proximal interphalangeal joint K-wire arthrodesis was used, demonstrated good results in 52.4% of the cases. Weil osteotomy, combined with the plantar plate repair, achieves better results in comparison to osteotomy, performed with the interphalangeal joint arthrodesis.
Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Metatarsalgia
/
Placa Plantar
/
Articulação Metatarsofalângica
Tipo de estudo:
Observational_studies
Limite:
Humans
Idioma:
En
Revista:
J Foot Ankle Surg
Ano de publicação:
2024
Tipo de documento:
Article