Віддалені результати застосування остеотомії за L.S. Weil при хірургічному лікуванні метатарзалгії
| Autor: | V.M. Piatkovskiy, O.A. Kostrub, G.M. Lazarenko, O.A. Turchin, A.P. Liabakh |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Subluxation
Metatarsalgia medicine.medical_specialty Visual analogue scale business.industry 030208 emergency & critical care medicine Phalanx medicine.disease Asymptomatic Surgery 03 medical and health sciences 0302 clinical medicine medicine.anatomical_structure Orthopedic surgery medicine 030212 general & internal medicine Ankle medicine.symptom business Foot (unit) |
| Zdroj: | TRAUMA. 20:62-66 |
| ISSN: | 2307-1397 1608-1706 |
| Popis: | Background. Weil osteotomy is commonly used for the surgical treatment of metatarsalgia and is reliable among the various types of metatarsal osteotomy. Weil osteotomy is effective surgical procedure despite the complications, promotes significant pain relief and foot function improving. The purpose was to analyze the longterm results of Weil osteotomy in the surgical treatment of metatarsalgia. Materials and methods. Sixty one patients (88 feet, 107 cases) with metatarsalgia were examined. All patients were females. Their average age was 50.71 ± 1.12 (20–74) years; the average body mass index — 25.65 ± 0.32 (18.36–34.93) kg/m 2 . One foot was affected in 34 patients, both feet — in 27 patients. Metatarsalgia was detected under the head of the second metatarsals in 86 cases, third metatarsals — in 19 cases, fourth metatarsals — in 2 cases. The clinical, radiological, sonographic and statistic methods (the mean value, the significance of mean value was assessed by twosample ttest) were used. Results were assessed by the American Orthopedic Foot and Ankle Score (AOFAS), visual analog scale within 1–54 months (mean 25.68 ± 1.92 months). Results. The function dynamics before/after operation was 56.79 ± 1.58/84.80 ± 0.67 (p < 0.001), pain dynamics — 5.75 ± 0.15/1.41 ± 0.04 (p < 0.001). The results of surgical treatment by AOFAS: excellent — 60.23 %, good — 36.37 %, satisfactory — 3.4 %, unsatisfactory — 0 %. Complication: recurrence metatarsalgia was diagnosed in 5 patients. Asymptomatic subluxation of the proximal phalanges was diagnosed in 25 cases. Nonunion and aseptic necrosis were not diagnosed, migration of screws was in 4 cases. The floating toe was detected in 6 patients. Conclusions. Weil osteotomy was used for adequate shortening of the metatarsals in patients with metatarsalgia. It is effective surgical procedure, promotes significant pain relief and improvement of foot function by AOFAS (84.80 ± 0.67); allows correcting the dorsal subluxations of the proximal phalanges and deviation of the toes in the transverse plane. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|