Foot and Ankle Surgery
Volume 13, Issue 3 , Pages 116-121, 2007

Plantar plate repair and Weil osteotomy for metatarsophalangeal joint instability

  • Julie Gregg

      Affiliations

    • Department of Medical Imaging, Faculty of Medicine, Monash University, Clayton, Vic., Australia
    • Symbion Health, Vaucluse Hospital, 82 Moreland Road, Brunswick 3056, Vic., Australia
    • Corresponding Author InformationCorresponding author at: Symbion Health, Vaucluse Hospital, 82 Moreland Road, Brunswick 3056, Vic., Australia. Tel.: +61 6 03 93836266; fax: +61 6 03 9384 0235.
    • ,
  • Morry Silberstein

      Affiliations

    • Department of Medical Imaging, Faculty of Medicine, Monash University, Clayton, Vic., Australia
    • ,
  • Callum Clark

      Affiliations

    • Wexham Park Foot and Ankle Unit, Wexham Park Hospital, UK
    • ,
  • Tim Schneider

      Affiliations

    • Melbourne Orthopaedic Group, Melbourne, Vic., Australia

Received 11 July 2006; received in revised form 13 November 2006; accepted 23 January 2007.

Abstract 

This study reviews results of the combined Weil osteotomy and direct plantar plate repair for instability of the lesser metatarsals. Between 6th June 2002 and 4th February 2004, patients with an unstable, or multiple unstable metatarsophalangeal joints, underwent a Weil osteotomy and plantar plate repair operation for degenerative rupture. Thirty-five plantar plate repairs were performed on 23 feet, with or without PIP arthrodesis. Twelve feet also underwent concomitant hallux valgus corrections. The American Orthopaedic Foot and Ankle Society (AOFAS) Lesser Metatarsophalangeal-Interphalangeal scale was used for outcome rating. Early reports are promising with satisfactory results in most patients.

Keywords: Weil, Plantar plate, Metatarsophalangeal, Hammertoe

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PII: S1268-7731(07)00019-7

doi:10.1016/j.fas.2007.01.001

Foot and Ankle Surgery
Volume 13, Issue 3 , Pages 116-121, 2007

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