Journal of Foot and Ankle Surgery
Volume 45, Issue 1 , Pages 13-19 , January 2006

Analysis of Three Types of Fixation of the Weil Osteotomy

  • Craig T. Jex, DPM

      Affiliations

    • Submitted while third-year surgical resident, St. John North Shores Podiatric Surgical Residency Program, Harrison Township, MI
    • ,
  • Chanda J. Wan, DPM

      Affiliations

    • Submitted while second-year surgical resident, St. John North Shores Podiatric Surgical Residency Program, Harrison Township, MI
    • Corresponding Author InformationAddress correspondence to: Chanda J. Wan, DPM, 117 North Braddock St #150, Winchester, VA 22601
    • ,
  • Steve Rundell, MS

      Affiliations

    • Submitted while Graduate Student, College of Engineering, Michigan State University, East Lansing, MI
    • ,
  • Roger C. Haut, PhD

      Affiliations

    • Director, Orthopedic Biomechanics Laboratories, Michigan State University, East Lansing, MI
    • ,
  • Brian MacDonald, DPM (FACFAS)

      Affiliations

    • Chief, Department of Podiatric Surgery, St. John North Shores Hospital, Harrison Township, MI
    • ,
  • Stuart J. Wertheimer, DPM (FACFAS)

      Affiliations

    • Residency Director, St. John North Shores Hospital, Harrison Township, MI

References 

  1. Jimenez AL , Martin DE , Phillips AJ . Lesser metatarsalgia evaluation and treatment . In:  Higgins KR ,  Krych SM editor. Clinic in Podiatric Medicine and Surgery . Philadelphia: Saunders; 1990;p. 597–618
  2. Weil LS. Weil head-neck oblique osteotomy: technique and fixation. Presented at: Techniques of Osteotomies on the Forefoot; October 20–22, 1994; Bordeaux, France.
  3. Trnka HJ , Meir N , Parks BG , Myerson MS . Dorsiflexion contracture after the Weil osteotomy (results of cadaver study and three-dimensional analysis) . Foot Ankle Int . 2001;22:47–50
  4. Melamed EA , Schon LC , Myerson MS , Parks BG . Two modifications of the Weil osteotomy (analysis on sawbone models) . Foot Ankle Int . 2002;23:400–405
  5. O’Kane C , Kilmartin TE . The surgical management of central metatarsalgia . Foot Ankle Int . 2002;23:415–419
  6. Trnka H , Gebhard C , Muhlbauer M , Ivanic G . The Weil osteotomy for treatment of dislocated lesser metatarsalphalangeal joints . Acta Orthop Scand . 2002;73:190–194
  7. Vandeputte G , Dereymaeker G , Steenwerckx A , Peeraer L . The Weil osteotomy of the lesser metatarsals (a clinical and pedographic follow-up study) . Foot Ankle Int . 2000;21:370–374
  8. Trnka HJ , Muhlbauer M , Zettl R , Myerson MS . Comparison of the results of the Weil and Helal osteotomies for the treatment of metatarsalgia secondary to dislocation of the lesser metatasophalangeal joints . Foot Ankle Int . 1999;20:72–79
  9. Stokes IA , Hutton WC , Stott JR . Forces acting on the metatarsals during normal walking . J Anat . 1979;129:579–590
  10. Chang T , Landsman A , Ruch J . Relative strengths of internal fixation in osteotomies and arthrodesis of the first metatarsal . In:  Vickers NS editors. Reconstructive Surgery of the Foot and Leg–Update ’96 . Tucker, GA: Podiatry Institute Publishing; 1996;p. 119–127
  11. Chang T , Ruch J . Relative strengths and efficacy of fixation techniques in osteotomies and arthrodesis of the first metatarsal . In:  Vickers NS editors. Reconstructive Surgery of the Foot and Leg–Update ’92 . Tucker, GA: Podiatry Institute Publishing; 1992;p. 233–236
  12. Fillinger E , McGuire J , Hesse D , Soloman M . Inherent stability of proximal first metatarsal osteotomies (a comparative analysis) . J Foot Ankle Surg . 1998;37:292–302
  13. Miller J , Stuck R , Sartori M , Patwardhan A . The inverted “Z” bunionectomy (quantitative analysis of the scarf and inverted scarf bunionectomy osteotomies in fresh cadaveric matched pair specimens) . J Foot Ankle Surg . 1994;33:455–462
  14. Shaw N , Wertheimer SJ , Krueger J , Haut R . A mechanical comparison of first metatarsal diaphyseal osteotomies for the correction of hallux abducto valgus . J Foot Ankle Surg . 2001;40:271–276
  15. Khuri J , Wertheimer SJ , Krueger J , Haut R . Fixation of the offset V osteotomy (mechanical testing of 4 constructs) . J Foot Ankle Surg . 2003;42:63–67
  16. Barouk LS . Weil’s metatarsal osteotomy in the treatment of metatarsalgia . Orthopade . 1996;25:338–344
  17. Loya K , Guimet M , Rockett MS . Proximal shortening lesser metatarsal osteotomy (a mathematical-geometric basis) . J Foot Ankle Surg . 2000;39:104–113
  18. Rubel F, Kloen P, Campbell D, Schwartz M, Liew A, Myers E, et al. Open reduction and internal fixation of humeral nonunions (a biomechanical and clinical study) . J Bone Joint Surg . 2000;84A:1315–1322
  19. Cooper HJ, Kummer FJ, Egol KA, Koval KJ. The effect of screw type on the fixation of depressed fragments in tibial plateau fractures. Bull Hosp Jt Dis 60:72–75, 2001-2002.
  20. Landsman A , Chang T . Can synthetic bone models approximate the mechanical properties of cadaveric first metatarsal bone? . J Foot Ankle Surg . 1998;37:122–127

 None of the authors received any financial assistance and had no conflict of interest with regards to the products mentioned in this study.

PII: S1067-2516(05)00652-6

doi: 10.1053/j.jfas.2005.10.007

Journal of Foot and Ankle Surgery
Volume 45, Issue 1 , Pages 13-19 , January 2006

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