Complicaciones de la osteotomía de Weil: análisis retrospectivo de 25 pies intervenidos en 21 pacientes

Abstract

Introduction

Weil osteotomy is one of the most common surgical techniques used for lesser metatarsophalangeal joints. However, this procedure is not absent of complications. The present study analyzed retrospectively surgical complications associated with Weil osteotomy in a case series of patients.

Patients and methods

Surgical records were retrospectively reviewed for patients consecutively operated with a Weil osteotomy (simple or three step modification) from January 2012 and May 2015. Surgical complications such us transfer metatarsalgia, recurrence of metatarsal pain, floating toes, delayed unions or non unions as well as any complication noted in the record.

Results

It was included a total of 25 feet operated in 21 patients. Simple Weil osteotomy was performed in 8 feet (32,0%) and three step modification of Weil osteotomy was performed in 17 feet (68,0%). Three cases had transfer metatarsalgia. Twenty-two cases (88%) had floating toes at 3 months postoperative. There were no differences in floating toes between the simple and the tree step modification of Weil osteotomy. There were 7 casesof dorsal pain in the late postoperative period that were diagnosed as dorsal interosseous intertarsal compression syndrome.

Discussion

The present study shows valid information about the most common complications associated with the Weil osteotomy.