Two modifications of the Weil osteotomy: analysis on sawbone models
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Updated: Oct 1, 2026

Finite Element Analysis Model for Assessing Expansion Patterns from Surgically Assisted Rapid Palatal Expansion
Published on: October 20, 2023
Eyal A Melamed1, Lew C Schon, Mark S Myerson
1Department of Orthopaedic Surgery, The Union Memorial Hospital, Baltimore, MD, USA.
Abstract:
Second metatarsal osteotomies (30 degrees angle to shaft) were performed in 40 sawbones with: 1. head shifted proximally 5 mm; 2. head shifted proximally 10 mm; 3. 5-mm slice resected and head shifted proximally 5 mm; or 4. 5-mm dorsally based wedge resected and head shifted proximally 5 mm. Bone slice resection resulted in shortening (16.4+/-1.7 mm) and mild plantar displacement of the head (3.5+/-0.8 mm). Bone wedge excision resulted in moderate shortening (7.8+/-0.9 mm) and essentially no plantar displacement of the head (0.8+/-1.4 mm).

