Sliding oblique versus segmental resection osteotomies for lesser metatarsophalangeal joint pathology
| Autor: | Deborah Castaneda, David B. Thordarson, Rishi Garg, Mark Schrumpf |
|---|---|
| Rok vydání: | 2008 |
| Předmět: |
Adult
Male Metatarsophalangeal Joint medicine.medical_specialty Pathology Treatment outcome Joint Dislocations Postoperative Complications medicine Humans Orthopedics and Sports Medicine Shortening osteotomy Aged Retrospective Studies Aged 80 and over Metatarsal osteotomy business.industry Follow up studies Oblique case Recovery of Function Middle Aged Arthralgia Surgery Osteotomy Joint Deformities Acquired Treatment Outcome Patient Satisfaction Female Segmental resection business Follow-Up Studies |
| Zdroj: | Footankle international. 29(10) |
| ISSN: | 1071-1007 |
| Popis: | Background: Oblique shortening osteotomy (Weil) can address lesser MP pathology but can have a high rate of complications. The purpose of this study was to review the results of a modification of the Weil osteotomy, the segmental resection metatarsal osteotomy. Materials and Methods: Between 2004 and 2006, 48 patients underwent the segmental resection osteotomy with a mean followup of 13 (range, 6 to 26) months. All the patients were evaluated with the American Orthopaedic Foot and Ankle Society (AOFAS) forefoot score and a questionnaire addressing distances they were able to walk, work limitations, sporting activity, and overall satisfaction. Results: The postoperative AOFAS forefoot score was an average of 87.6 (range, 59 to 100; SD, 10.97) and the overall satisfaction rate was 85.4%. The complication rate was 18.8% for transfer metatarsalgia, 27.1% for floating toes, 35.4% for toe weakness, 14.6% for infection, and 10.4% for wound healing problems. Conclusions: Despite the complications, the patients who underwent segmental osteotomy were satisfied with the outcome for lesser MTP joint pain and deformity. This is a preliminary study with significant refinement of the operative method as detailed in the surgical technique section. Further followup will elucidate whether additional changes are necessary in the surgical technique. Level of Evidence: IV, Retrospective Case Study |
| Databáze: | OpenAIRE |
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