Central metatarsal head-neck osteotomies: indications and operative techniques.
The author presents the history and indications of various central metatarsal head-neck osteotomies with special emphasis on the radiographic assessment, vascular supply, and regional anatomy. The surgical techniques described include (1) minimal incision osteotomy; (2) Weil metatarsal osteotomy and various modifications; and (3) a novel "telescoping" osteotomy. Ancillary soft-tissue and osseous digital procedures as well as the prevention and management of potential complications are presented in detail.
Roukis
Thomas S
TS
Weil Foot and Ankle Institute, 1455 East Golf Road, Suite 110, Des Plaines, IL 60016, USA. troukis@footankledeformity.com
D003131:Combined Modality Therapy; D006215:Hallux Valgus / Q000601:surgery*; D006801:Humans; D016268:Internal Fixators; D008682:Metatarsal Bones / Q000601:surgery*; D019060:Minimally Invasive Surgical Procedures; D010027:Osteotomy / Q000295:instrumentation / Q000379:methods*; D014034:Toes / Q000601:surgery