An adaptation of Weil's osteotomy of the lesser metatarsal neck

Weil's osteotomy is a useful technique for the treatment of central metatarsalgia and lesser metatarsophalangeal joint dislocation. In this report, we describe a technical maneuver that involves predrilling and tapping holes that can be used to guide translocation of the capital fragment of the metatarsal. This configures the final hole that will be used for single screw placement to secure the osteotomy in the position of correction. This technical tip is useful in regard to establishing the intraoperative orientation of the osteotomy and screw placement, and enables the use of a single, generic screw for stabilization of the realigned metatarsal.