Please use this identifier to cite or link to this item: http://hdl.handle.net/10553/69760
Title: Clinical effectiveness and safety of Weil's osteotomy and distal metatarsal mini-invasive osteotomy (DMMO) in the treatment of metatarsalgia: A systematic review
Authors: Rivero-Santana, Amado
Perestelo-Pérez, Lilisbeth
Garcés Martín, Gerardo 
Álvarez-Pérez, Yolanda
Escobar, Antonio
Serrano-Aguilar, Pedro
UNESCO Clasification: 321315 Traumatología
Keywords: Distal Metatarsal Mini-Invasive Osteotomy
DMMO
Metatarsalgia
Weil'S Osteotomy
Issue Date: 2019
Journal: Foot and Ankle Surgery 
Abstract: Background: Weil's osteotomy (WO) is the most applied surgical treatment for metatarsalgia, a persistent pain in the lesser metatarsals’ heads. We aim to review its effectiveness and safety compared to the percutaneous technique known as distal metatarsal mini-invasive osteotomy (DMMO). Methods: Systematic review in Medline, Pubmed, Embase, Cinahl and Cochrane Library. We included studies that directly compared WO and DMMO for the treatment of primary metatarsalgia. Data on pain, function, complications and patients’ satisfaction were extracted and narratively synthesized. Results: Four retrospective studies were identified. There were no significant differences in clinical effectiveness or patients’ satisfaction. Time to bone healing was significantly longer for DMMO, whereas WO showed more wound problems and metatarsophalangeal stiffness. Other complications were infrequent in the two procedures. Conclusion: Evidence on the direct comparison of WO and DMMO is scarce and of low quality. Randomized studies are needed in order to control for potential confounders.
URI: http://hdl.handle.net/10553/69760
ISSN: 1268-7731
DOI: 10.1016/j.fas.2018.06.004
Source: Foot and Ankle Surgery [ISSN 1268-7731], v. 25 (5), p. 565-570
Appears in Collections:Reseña
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