Complications and salvage of elective central metatarsal osteotomies.
In order to provide proper treatment intervention, the foot and ankle surgeon must develop a further understanding of the pathoanatomy and pathomechanics leading to specific surgical complications of central metatarsal osteotomies. In addition to providing the authors' experiences and potential solutions with regard to these complications, a clear definition of the progression of the complication course is presented. The specific complications of floating toe deformity, metatarsalphalangeal joint stiffness, recurrent metatarsalgia, transfer lesions, malunions, and nonunions are discussed.
Derner
Richard
R
Lake Ridge Foot and Ankle Centers, 1721 Financial Loop, Lake Ridge, VA 22192, USA. richd87@mac.com
Meyr
Andrew J
AJ
D001168:Arthritis / Q000209:etiology / Q000601:surgery; D001178:Arthroplasty; D017558:Elective Surgical Procedures / Q000009:adverse effects*; D005531:Foot Deformities, Acquired / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology; D017759:Fractures, Malunited / Q000209:etiology / Q000601:surgery; D005599:Fractures, Ununited / Q000209:etiology / Q000601:surgery; D006801:Humans; D008682:Metatarsal Bones / Q000503:physiopathology / Q000601:surgery*; D037061:Metatarsalgia / Q000175:diagnosis / Q000601:surgery; D008683:Metatarsophalangeal Joint / Q000503:physiopathology / Q000601:surgery; D010027:Osteotomy / Q000009:adverse effects*; D011032:Podiatry / Q000379:methods; D016059:Range of Motion, Articular; D016879:Salvage Therapy / Q000379:methods*; D014034:Toes / Q000503:physiopathology / Q000601:surgery