Weils osteotomy Surgical Technique
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CPD/CME Points: 0.5
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An effective , straightforward and reproducible way of reducing plantar metatarsal head pain due to mechanical overload. The metatarsal head is both slightly shortened as well as elevated by the technique.
It is important to preserve (or reconstruct) an appropriate “metatarsal arcade” whereby from lateral to medial each adjacent metatarsal is slightly longer than its fellow when viewed in the AP plane. Failure to do this , by shortening too much with the Weils , will usually transfer mechanical pain down the line laterally to the next longest metatarsal.
Often performed part of a more general forefoot reconstruction.
Author: Mark Herron FRCS
Institution: The Wellington Hospital , London