title: [Treatment of the injury of the plantar plate on the second metatarsophalangeal joint with dorsal approach and Weil osteotomy].
abstract: OBJECTIVE
  To evaluate the clinical results of dorsal approach and Weil osteotomy in treating the injury of the plantar plate in second metatarsophalangeal joint.
  
  
  METHODS
  Eight feet with plantar plate tear in five cases were treated by plantar plate repairment through dorsal approach and Weil osteotomy from June 2012 to December 2013. The mean age of the patients was 52 years old. All the patients were followed up for 6 to 12 months. American Orthopaedic Foot and Ankle Society (AOFAS) and visual analogue scale (VAS) were used to evaluate the clinical effect.
  
  
  RESULTS
  The second metatarsophalangeal joint stability recovered and the pain released in all patients. Postoperative VAS was lower and AOFAS was higher than preoperative.
  
  
  CONCLUSIONS
  Combined dorsal approach and Weil osteotomy can effectively release the pian of plantar plate, stabilize the metatarsophalangeal joint, decrease the incidence rate of postoperative subluxation and anchylosis in treating plantar plate tears in the second metatarsophalangeal joint.
authors.forename: Hai-bo
authors.initials: HB
authors.lastname: Zhou
authors.forename: Lei
authors.initials: L
authors.lastname: Chen
authors.forename: Cai-long
authors.initials: CL
authors.lastname: Liu
mesh_terms: D005260:Female; D006801:Humans; D007593:Joint Instability / Q000601:surgery; D008683:Metatarsophalangeal Joint / Q000293:injuries* / Q000601:surgery*; D008875:Middle Aged; D010027:Osteotomy / Q000379:methods*; D000069262:Plantar Plate / Q000293:injuries*