title: Comparison of early outcome of Weil osteotomy and distal metatarsal mini-invasive osteotomy for lesser toe metatarsalgia.
abstract: To compare the 6-month outcome of Weil osteotomy with distal metatarsal mini-invasive osteotomy (DMMO) in 33 patients with lesser toe metatarsalgia.
  
  
  
  Records of 33 patients who underwent Weil osteotomy (n=20, 41 toes) or DMMO (n=13, 22 toes) for lesser toe metatarsalgia by a single surgeon were reviewed. 25 of them had a concurrent procedure on the 1st toe. Outcome at 6 months was assessed using the visual analogue score (VAS) for pain, American Orthopaedic Foot and Ankle Society (AOFAS) lesser toe metatarsophalangeal-interphalangeal (MTP-IP) score, and the RAND-36 score.
  
  
  
  The 2 groups were comparable in terms of age, gender, and preoperative MTP joint range of motion (ROM), VAS for pain, AOFAS lesser toe MTPIP score, and RAND-36 scores. At 6 months, the Weil osteotomy group had a higher RAND-36 (mental) score (92 vs. 78, p=0.026), and the DMMO group had a higher percentage of toes with greater MTP joint ROM (p=0.043). All patients achieved bone union within 6 months. Two patients in the DMMO group had prolonged oedema until 3 months post-surgery.
  
  
  
  DMMO is a safe and reliable alternative to Weil osteotomy for metatarsalgia and can preserve ROM of the MTP joints.
authors.affiliation: Department of Orthopaedic Surgery, Singapore General Hosptial, Singapore.
authors.forename: Nicholas Eng Meng
authors.initials: NE
authors.lastname: Yeo
authors.forename: Bryan
authors.initials: B
authors.lastname: Loh
authors.forename: Jerry YongQiang
authors.initials: JY
authors.lastname: Chen
authors.forename: Andy Khye Soon
authors.initials: AK
authors.lastname: Yew
authors.forename: Sean Yc
authors.initials: SY
authors.lastname: Ng
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008297:Male; D008682:Metatarsal Bones; D037061:Metatarsalgia / Q000601:surgery*; D008683:Metatarsophalangeal Joint; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures; D010027:Osteotomy / Q000379:methods*; D016059:Range of Motion, Articular; D012189:Retrospective Studies; D013997:Time Factors; D016896:Treatment Outcome
keywords: metatarsalgia; osteotomy