Abstract
Aim:To assess the short-term results of a series of Weil metatarsal osteotomies. Material and Methods:31 Weil procedures (26 patients) performed to treat central metatarsalgias are analyzed. The series included oste-otomies from one to four metatarsals in all cases (55 osteotomies) with 24–48 follow-up. There were 16 meta-tarsophalangeal (MTP) dislocations. Results were assess according to AOFAS score. Results: Bone healing was obtained in all cases (4–8 weeks). There were no delayed unions or malunions in this series. The clinical results were very good in 10 feet, good in 14 feet, fair in 5 feet and poor in 2 feet. The mean preoperative AOFAS score was 33 and improved to 86 postoperatively (p< 0.001). Mobility of the MTP was reduced frequently (severe in 6 feet). Mild recurrent metatarsalgia was found in 2 feet, moderate in 4, and severe in 2. A complete dissa-pearance of the callus was found in 16 feet. The average metatarsal shortening was 5.6 mm. To date, recurrent dislocation of the MTP was found in 2 feet. Conclusions: Weil osteotomy allows us to obtain good results in median metatarsalgias and in cases with MTP dislocations, reducing the length of the central metatarsals. Mobility of the MTP is also frequently reduced
Theses abstracts were prepared by Professor Dr. Frantz Langlais. Correspondence should be addressed to him at EFORT Central Office, Freihofstrasse 22, CH-8700 Küsnacht, Switzerland.
