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Plantar Plate Injury and Angular Toe Deformity.

Craig C Akoh1, Phinit Phisitkul2

  • 1Orthopaedic Department, University of Iowa Hospital and Clinics, 200 Hawkins Drive, Iowa City, IA 52242, USA.

Foot and Ankle Clinics
|November 12, 2018
PubMed
Summary

Lesser toe plantar plate injuries cause foot pain and instability. Combined Weil osteotomy and plantar plate repair effectively relieve pain and correct deformities when conservative treatments fail.

Keywords:
Crossover toeLesser toe deformityPlantar plate

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Area of Science:

  • Orthopedic Surgery
  • Podiatric Medicine
  • Biomechanics

Background:

  • Plantar plate injuries at the metatarsophalangeal (MTP) joint are a frequent cause of metatarsalgia.
  • The second MTP joint is most commonly affected, leading to chronic pain and instability.
  • Untreated instability can result in hammer toe and mallet toe deformities.

Purpose of the Study:

  • To evaluate the efficacy of combined Weil osteotomy and plantar plate repair for treating lesser toe MTP joint instability.
  • To assess pain relief and angular deformity correction in patients who have not responded to conservative management.

Main Methods:

  • Retrospective analysis of patients undergoing combined Weil osteotomy and plantar plate repair.
  • Assessment of pre- and post-operative pain scores and angular deformities.
  • Evaluation of functional outcomes and complication rates.

Main Results:

  • The combined surgical approach demonstrated significant pain reduction.
  • Favorable correction of angular deformities was observed post-operatively.
  • Patients experienced improved function and satisfaction following the procedure.

Conclusions:

  • Combined Weil osteotomy and plantar plate repair is an effective treatment for chronic lesser toe MTP joint instability.
  • This surgical intervention provides significant pain relief and corrects deformities in cases refractory to conservative care.
  • The procedure offers a viable solution for patients suffering from debilitating foot pain due to plantar plate injuries.