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Percutaneous Surgery for Static Metatarsalgia

  • Thomas Bauer
Chapter

Abstract

Metatarsalgias with plantar hyperkeratosis under the metatarsal heads of the lateral rays is very prevalent. Conservative management with insoles often provides a complete or partial relief of the symptoms. In case of failure of non-operative modalities, surgery can be indicated, and several metatarsal osteotomies have been described. Their aim is to shorten and to raise the metatarsals to decrease the pressure under the metatarsal heads of the lateral rays to provide relief of the symptoms [1–12]. The Weil osteotomy is the most popular distal metatarsal osteotomy and is still the gold standard treatment for metatarsalgia [5]. However, metatarso-phalangeal joint stiffness is a very frequent complication after Weil osteotomy, and difficulties with fixation or restoration of the distal metatarsal arch can be experienced. We present a percutaneous procedure for the treatment of metatarsalgias with details on the surgical technique, first results and discussion of the benefits and indications [13, 14].

Keywords

Metatarsal Head Full Weight Bearing Gold Standard Treatment Metatarsal Osteotomy Cohesive Bandage 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer-Verlag London 2013

Authors and Affiliations

  1. 1.Department of Orthopaedic SurgeryAmbroise Paré Hospital, West Paris UniversityBoulogneFrance

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