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Culture of Murine Embryonic Metatarsals: A Physiological Model of Endochondral Ossification

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Metatarsal Osteotomies: Complications.

Veerabhadra Babu Reddy¹

¹Department of Surgery, Texas A&M Health Science Center College of Medicine, Bryan, TX, USA; Foot and Ankle Surgery Fellowship Program, Baylor University Medical Center, Dallas, 3900 Junius Street, Suite 500, Dallas, TX 75246, USA.

Foot and Ankle Clinics

|January 25, 2018

Summary

Proximal metatarsal osteotomies offer significant bone repositioning but risk nonunion and transfer metatarsalgia. Distal osteotomies heal better but may cause joint stiffness and recurrent pain.

Keywords:

Complications Distal Helal Metatarsal Osteotomy Proximal Weil

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Area of Science:

Orthopedic surgery
Foot and ankle reconstruction
Surgical techniques

Background:

Metatarsal osteotomies are surgical procedures to correct foot deformities.
These procedures are broadly classified into proximal and distal types.
Each type presents unique advantages and disadvantages regarding bone healing and functional outcomes.

Purpose of the Study:

To compare the outcomes of proximal versus distal metatarsal osteotomies.
To highlight the risks and benefits associated with different osteotomy techniques.
To inform surgical decision-making for metatarsal deformities.

Main Methods:

Review of proximal osteotomies: oblique, segmental, set cut, and Barouk-Rippstein-Toullec (BRT).
Review of distal osteotomies: Weil and Helal.
Analysis of complication rates including nonunion, transfer metatarsalgia, joint stiffness, and floating toe.

Main Results:

Proximal osteotomies allow significant metatarsal head repositioning without joint violation.
Proximal osteotomies have a high nonunion rate without internal fixation and risk transfer metatarsalgia.
Distal osteotomies demonstrate superior healing but increased incidence of recurrent metatarsalgia, joint stiffness, and floating toe.

Conclusions:

The choice between proximal and distal metatarsal osteotomies involves balancing potential for correction against risks of complications.
Proximal osteotomies require careful consideration of fixation and biomechanics to mitigate risks.
Distal osteotomies necessitate vigilance for post-operative joint issues and pain recurrence.