Researchers compared the results of the Weil osteotomy with and without fixation. A retrospective study of 92 patients (97 feet) who underwent treatment for metatarsalgia between 1999 and 2005 was undertaken. One hundred and six osteotomies were fixed using a screw, while no fixation was used in 92. The mean follow-up was 51.2 and 46.6 months, respectively. All the patients were evaluated following the AOFAS LMIS scale, obtaining a mean score of 69.8 and 75.3 in each group (P=0.11).
Conclusions
The results of fixed and unfixed Weil osteotomies were not significantly different. Our study could not find a significant relationship between metatarsal shortening and main complications (recurrent metatarsalgia, transfer metatarsalgia and stiffness of the metatarsophalangeal joint).
From the article of the same title
Foot and Ankle Surgery (09/01/11) García-Fernández, D.; Gil-Garay, E.; Lora-Pablos, D.
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About drphilipw
Dr. Philip Wrotslavsky specializes in the diagnosis and treatment of infant, children and adult patients with medical conditions of the foot, ankle and lower leg structures.
Dr Wrotslavsky completed his orthopedic fellowship (Chief Fellow) at The Limb Reconstruction Fellowship Program at the International Center for Limb Lengthening in Baltimore, Maryland under the guidance of Dr. Dror Paley and Dr. John Herzenberg. His fellowship experience included the in-depth study, prevention, and treatment of limb threatening foot conditions, infections, diabetic charcot neuroarthropathy, nonunions, malunions, and congenital and posttraumatic limb deformities. He has adopted techniques derived from the science of distraction osteogenesis.He is adept at utilizing the full gamut of orthopedic fixation materials, including screws, wires, plates, intramedullary rods, and monolateral and circular fixators (Ilizarov and Taylor Spatial Frame) in the treatment and correction of deformities.
His 4 years of podiatry foot and ankle surgical residency training took place in an inner city hospital in New York City, where he worked with a multidisciplinary team of general, podiatric, orthopedic and vascular physicians and surgeons and provided a wide variety of foot and ankle care including wound care, ankle arthroscopy, diabetic limb salvage and reconstruction, flatfoot reconstruction, neurological cavo-varus foot reconstruction and management of trauma to the foot and ankle.
Dr Wrotslavsky's fellowship and residency training has taught him to perform a full biomechanical exam identifying lower extremity pathology from spine to foot.He enjoys working with a team of physicians identifying the patients’ pathology and providing the appropriate treatment.
