The purpose of this study was to analyze the early results of a new technique for @entity4142 repair and advancement using a Weil metatarsal osteotomy of the second metatarsal. The authors retrospectively reviewed medical records of 13 consecutive adult @entity1 (15 feet) who underwent this procedure by a single surgeon. The authors recorded visual analog @entity158 scale scores preoperatively and postoperatively and @entity1 -reported clinical outcome measurement surveys during their final follow-up visit. At an average of 22.5 months (range, 13 to 33 months) follow-up, 11 of 13 @entity1 (85%) reported improved function whereas 10 of 13 (77%) were either satisfied or very satisfied with the outcome. Postoperative scores on the American Orthopaedic Foot and Ankle Society Lesser Metatarsophalangeal- Interphalangeal Scale averaged 85.7 on a scale of 100 (SD = 13.1, 95% CI = 79.1-91.5). @entity1 reported an average preoperative visual analog @entity158 scale of 7.3 (SD = 1.6, 95% CI = 6.4-8.1) versus an average of 1.7 (SD = 1.8, 95% CI = 0.7-2.7) postoperatively. This was a significant reduction in @entity158 rating (P < .0001, t = 8.9, df = 27). Complications included @entity158 and @entity7529 . There were no cases of dehiscence, malunion, nonunion, or recurrent @entity2720 . This unique surgical technique addresses metatarsal overload and the instability of the second metatarsophalangeal joint while allowing for anatomic repair of the plantar plate pathology.

XXXX repair using the Weil metatarsal osteotomy approach.

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients', 'patient'] @entity4142 :: ('MESH:D020763', 'Disease') :: ['anatomic plantar plate'] @entity7529 :: ('MESH:D037061', 'Disease') :: ['metatarsalgia'] @entity158 :: ('MESH:D010146', 'Disease') :: ['pain', 'painful hardware'] @entity2720 :: ('MESH:D007592', 'Disease') :: ['metatarsophalangeal joint subluxation']
@entity4142 :: (MESH:D020763,Disease) :: ['Anatomic plantar plate']
