Lee Jia Ying, Tay Kae Sian, Tan Joelle Hwee Inn, Abdul Kadir Hanis Binte, Koo Kevin, Yeo Nicholas
Department of Orthopaedic Surgery, Singapore General Hospital, Outram Rd, 169608, Singapore.
Department of Orthopaedic Surgery, Singapore General Hospital, Outram Rd, 169608, Singapore.
Foot Ankle Surg. 2022 Dec;28(8):1433-1439. doi: 10.1016/j.fas.2022.08.001. Epub 2022 Aug 5.
The role of concomitant Weil osteotomy to address second toe metatarsalgia during hallux valgus correction is unclear. We aimed to critically analyse outcomes of an additional Weil osteotomy versus isolated Scarf osteotomy.in the management of hallux valgus and second metatarsalgia.
Patients with second toe metatarsalgia who underwent first metatarsal Scarf osteotomy for hallux valgus were enrolled retrospectively. Demographics, radiographic measurements and functional outcomes were assessed at baseline, 6-months and 2-years postoperatively. Between-group significance was established with Fisher exact test, Chi-square or Mann-Whitney U test. Within-group changes from baseline were assessed with paired t-test and Wilcoxon signed-rank test.
48 feet (34 isolated Scarf, 14 concomitant Weil osteotomy) were included. Both cohorts demonstrated significant improvements across all measures of functional outcome. However, patients with additional Weil osteotomy reported poorer short-term outcomes.
Superiority of additional Weil osteotomy versus isolated Scarf osteotomy in addressing second toe metatarsalgia or improving functional outcomes was not demonstrated.
在拇外翻矫正过程中，同期行韦尔截骨术治疗第二跖骨痛的作用尚不清楚。我们旨在严格分析在拇外翻和第二跖骨痛的治疗中，额外行韦尔截骨术与单纯行斯卡夫截骨术的疗效。
回顾性纳入因拇外翻接受第一跖骨斯卡夫截骨术且伴有第二跖骨痛的患者。在基线、术后6个月和2年时评估人口统计学、影像学测量和功能结局。组间显著性采用Fisher精确检验、卡方检验或曼-惠特尼U检验确定。组内与基线相比的变化采用配对t检验和威尔科克森符号秩检验进行评估。
共纳入48只足（34只单纯行斯卡夫截骨术，14只同期行韦尔截骨术）。两组在所有功能结局指标上均有显著改善。然而，同期行韦尔截骨术的患者报告短期结局较差。
未证明在治疗第二跖骨痛或改善功能结局方面，额外行韦尔截骨术优于单纯行斯卡夫截骨术。
