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Journal of Bone and Joint Surgery - British Volume, Vol 87-B, Issue 11, 1507-1511.
doi: 10.1302/0301-620X.87B11.16590  
Copyright © 2005 by British Editorial Society of Bone and Joint Surgery
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The Weil osteotomy

A SEVEN-YEAR FOLLOW-UP

S. G. Hofstaetter, MD1; J. G. Hofstaetter, MD2; J. A. Petroutsas, MD3; F. Gruber, MD3; P. Ritschl, MD3; and H.-J. Trnka, MD1

1 Foot Centre, Alserstrasse 43/8d, 1080 Vienna, Austria.
2 Department of Orthopaedic Surgery, Children’s Hospital and Harvard Medical School, 300 Longwood Avenue, Boston, Massachusetts 02215, USA.
3 Department of Orthopaedic Surgery, Hospital Gersthof, Wielemannsgasse 28, 1080 Vienna, Austria.

Correspondence should be sent to Dr S. G. Hofstaetter at Herderstrasse 40, A-4600 Wels, Austria; e-mail: stefanhofstaetter{at}gmx.at

We prospectively evaluated the one- and seven-year results of the Weil osteotomy for the treatment of metatarsalgia with subluxed or dislocated metatarsophalangeal joints in 25 feet of 24 patients. Good to excellent results were achieved in 21 feet (84%) after one year and in 22 (88%) after seven years. The American Orthopaedic Foot and Ankle Society score significantly improved from 48 (SD 15) points before surgery to 75 (SD 24) at one year, and 83 (SD 18) at seven years. The procedure significantly reduced pain, diminished isolated plantar callus formation and increased the patient’s capacity for walking. Redislocation of the metatarsophalangeal joint was seen in two feet (8%) after one year and in three (12%) after seven years. Although floating toes and restricted movement of the metatarsophalangeal joint may occur, the Weil osteotomy is safe and effective.




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 J Bone Joint Surg BrHome page
N. RAMISETTY and M. E. GREISS
The Weil osteotomy: a seven-year follow-up
J Bone Joint Surg Br, February 1, 2007; 89-B(2): 280 - 280.
[Full Text] [PDF]

Home page
 J Bone Joint Surg BrHome page
S. G. HOFSTAETTER and H. J. TRNKA
Author's reply
J Bone Joint Surg Br, February 1, 2007; 89-B(2): 280 - 281.
[Full Text] [PDF]

eLetters:

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The Weil Osteotomy: A Seven Year Follow-Up
Quamar Bismil, et al.
J Bone Joint Surg Br Online, 20 Dec 2005 [Full text]
The Weil osteotomy
Peter J Briggs, et al.
J Bone Joint Surg Br Online, 20 Dec 2005 [Full text]
The Weil osteotomy: a seven-year follow-up.
Narendra Ramisetty, et al.
J Bone Joint Surg Br Online, 13 Mar 2006 [Full text]
Authors' reply
Stefan G Hofstaetter, et al.
J Bone Joint Surg Br Online, 12 Jan 2007 [Full text]

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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General