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[Helal's metatarsal osteotomy].

M Slavík, J Kubice

Acta Chirurgiae Orthopaedicae Et Traumatologiae Cechoslovaca

|October 1, 1989

Summary

This summary is machine-generated.

Helal's metatarsal osteotomy effectively treated forefoot pain in 58 patients, with 94% achieving excellent or good results. This simple surgical procedure offers good outcomes and short hospital stays.

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Area of Science:

Orthopaedic Surgery
Podiatric Medicine

Background:

Obstinate forefoot pain significantly impacts patient quality of life.
Surgical interventions are considered for persistent cases unresponsive to conservative treatments.

Purpose of the Study:

To evaluate the long-term efficacy and safety of Helal's metatarsal osteotomy for treating chronic forefoot pain.

Main Methods:

A retrospective review of 58 Helal's metatarsal osteotomies performed between 1979-1987.
Evaluation of 41 patients with a minimum two-year follow-up period.
Assessment of surgical outcomes based on patient-reported results and complication rates.

Main Results:

Excellent results were observed in 19 patients (46%) and good results in 20 patients (48%), totaling 94% positive outcomes.

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Complications occurred in only 4 cases (6.9%), including superficial infection, thrombophlebitis, and painful pseudoarthrosis.

Only one complication (painful pseudoarthrosis) necessitated further surgical intervention.

Conclusions:

Helal's metatarsal osteotomy is a simple and effective surgical option for intractable forefoot pain.
The procedure is associated with a high rate of successful outcomes and a low complication profile.
Short-term hospitalization and favorable postoperative results make it a viable treatment choice.