Introduction and purpose: The purpose of this retrospective study is to determine the clinical outcome of Weil’s triple osteotomy as a treatment of metatarsalgia in the Department of Trauma and Orthopedic Surgery of the Hospital de Mòsteles (Madrid).

Materials and methods: We analyzed the first 50 cases performed in this department, with a mean follow-up of 2.5 years (range: 2–3.5 years). Of the total 50 patients, 45 were women and 5 were men. A mean amount of 3 metatarsals were corrected in each procedure (range: 1–5) with simultaneous hallux valgus correction in 38 cases.

Results: The results were evaluated according to the scale of the American Orthopedic Foot and Ankle Society for minor metatarsals pre and postoperatively, assessing function (45 points), pain (40 points) and alignment (15 points). Significant improvement of pain (30 or more points) was seen in 80% of the patients, a good to very good improvement in function was seen in 70% of cases (above 35 points) and alignment correction was seen in 90% of cases (more than 10 points). The complications were: superficial infection in 2 cases, metatarsophalangeal extension deficit in 3 cases, persistent pain in 1 case and deep venous thrombosis in 2 cases. Only one female patient with persistent pain required a new corrective surgery.

Conclusions: We consider that this is a technique that shortens and realigns the metatarsals achieving a significant decrease in symptoms without the stiffness and functional limitations caused by other techniques.