The translating Weil osteotomy in the treatment of an overriding second toe: a report of 25 cases

Foot Ankle Surg. 2010 Dec;16(4):153-8. doi: 10.1016/j.fas.2009.08.003. Epub 2009 Sep 11.

Abstract

We present a retrospective study of 25 feet operated for an overriding second toe deformity, whether or not associated with hallux valgus deformity and metatarsalgia. The surgical technique of a medial sliding and decompressive Weil osteotomy is described. All patients, operated between January 2002 and December 2007 for this condition in our institution, were reviewed clinically and radiologically. The mean AOFAS score improved with 47.6 points from 45.9 to 93.5. The theoretical advantages of such a translation Weil osteotomy are discussed trying to clarify the previously described pathologic anatomy of this condition.

MeSH terms

  • Adult
  • Aged
  • Female
  • Follow-Up Studies
  • Hallux Valgus / complications
  • Hallux Valgus / surgery
  • Humans
  • Joint Capsule / surgery
  • Joint Instability / physiopathology
  • Joint Instability / surgery
  • Male
  • Metatarsal Bones / diagnostic imaging
  • Metatarsal Bones / surgery*
  • Metatarsalgia / complications
  • Metatarsalgia / surgery
  • Metatarsophalangeal Joint / physiopathology
  • Metatarsophalangeal Joint / surgery
  • Middle Aged
  • Osteotomy / methods*
  • Radiography
  • Retrospective Studies
  • Toes / abnormalities*
  • Toes / diagnostic imaging
  • Toes / surgery*