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MEDICINA E CHIRURGIA DELLA CAVIGLIA E DEL PIEDE

A Journal on Physiopathology and Surgery of the Foot


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Chirurgia Del Piede 2003 June;27(2):69-72

language: Italian

What role for Weil's osteotomy?

Pisani G.


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The indication of Weil's osteotomy for the correction of simple metatarsal extra-length dysmetrias is considered debatable because in this case it is an articular surgery for an extra-articular pathology. Such a concept is not acceptable in an orthopaedic context and the frequency of residual joint rigidity with tendency of the toes to dorsiflect owing to dorsalisation of the dorsal interosseous muscles with respect to the centre of rotation of the metatarsal heads is well known. The technique is indicated in subluxated metatarso-phalangeal joints with onset of chondropathy; onset of arthropathy justifies intra-articular intervention and the detension of the volar plate obtained with the same intervention favours articular reduction.

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