Abstract：
:We reviewed the results of treatment of 114 feet in 96 patients with pressure metatarsalgia treated with a metatarsal osteotomy performed according to the technique of Helal. Clinical examination was performed according to a standardized evaluation questionnaire using the American Orthopaedic Foot and Ankle Society Lesser Metatarsophalangeal-Interphalangeal Scale. The results were correlated with number of metatarsal osteotomies, the length of the follow up, the age of the patient, and type of additional procedures performed. Sixty-one percent of the patients rated the operation as excellent or good. Patient age and number of osteotomies did not influence the results; however, the length of time following surgery and associated Keller-Brandes resection arthroplasty influenced the outcome negatively. There was a high incidence of increased transfer of weight to adjacent metatarsals. We concluded that the Helal type metatarsal osteotomy is unlikely to predictably achieve symptom relief over a long period.
journal_name
Orthopedicsjournal_title
Orthopedicsauthors
Trnka HJ,Kabon B,Zettl R,Kaider A,Salzer M,Ritschl Psubject
Has Abstractpub_date
1996-05-01 00:00:00pages
457-61issue
5eissn
0147-7447issn
1938-2367journal_volume
19pub_type
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