Highlander Peter, VonHerbulis Eric, Gonzalez Aldo, Britt Joshua, Buchman Jacqueline
Barry University School of Podiatric Medicine and Surgery, Miami Shores, Florida, USA.
Foot Ankle Spec. 2011 Jun;4(3):165-70. doi: 10.1177/1938640011402822. Epub 2011 Apr 13.
Introduction. The Weil osteotomy is commonly used for multiple forefoot pathologies yielding metatarsalgia. Despite its common use, the Weil osteotomy is associated with a high complication rate. Methods. A literature review was undertaken with predetermined criteria. To maximize the articles for review, prospective and retrospective studies were considered as well as multiple indications. Seventeen articles qualified for analysis, and study format, patient demographics, surgical indication, and complication rates were documented. The data obtained were totaled and evaluated for trends. Results. Details of 1131 Weil osteotomies are reported. The most commonly reported complication of the Weil osteotomy was floating toe, reported in 233 cases, with an overall occurrence of 36%. Recurrence was reported in 15% of the cases. Transfer metatarsalgia was reported in 7% of the cases, whereas delayed union, non-union, and malunion were collectively reported in 3% of the cases. Discussion. There is no consensus regarding utilization of the Weil osteotomy with prophylactic surgery, plantar plate repair, and adjunctive interphalangeal arthrodesis. These variables may alter complication rates and provide new avenues for research.
引言。韦尔截骨术常用于治疗多种导致跖痛症的前足病变。尽管其应用广泛，但韦尔截骨术的并发症发生率较高。方法。按照预定标准进行文献综述。为了使纳入综述的文章数量最大化，同时考虑了前瞻性和回顾性研究以及多种适应症。17篇文章符合分析要求，并记录了研究形式、患者人口统计学特征、手术适应症和并发症发生率。对获得的数据进行汇总并评估其趋势。结果。报告了1131例韦尔截骨术的详细情况。韦尔截骨术最常报告的并发症是浮趾，共233例，总体发生率为36%。15%的病例报告有复发。7%的病例报告有转移性跖痛，而延迟愈合、不愈合和畸形愈合合计报告发生率为3%。讨论。关于韦尔截骨术与预防性手术、跖板修复和辅助性指间关节融合术的应用尚无共识。这些变量可能会改变并发症发生率，并为研究提供新的途径。
