Floating toe after weil osteotomy. Finally, nonunion of the Weil osteotomy, although rare, is another possible complication. Apr 13, 2011 · The most commonly reported complication of the Weil osteotomy was floating toe, reported in 233 cases, with an overall occurrence of 36%. Find out what causes this condition and how to treat it. For patients who require a proximal interphalangeal (PIP) joint arthroplasty or fusion in addition to a Weil osteotomy, the transfer of the flexor digitorum brevis (FDB) tendon to the PIP joint might Dec 19, 2019 · The most frequent complication after Weil osteotomies is a floating toe deformity, but there are no reports about its effect on the patient. Methods: Between February, 2000 and February, 2003, 70 Weil osteotomies (in 26 patients) were done at one institution. Dec 19, 2019 · The most frequent complication after Weil osteotomies is a floating toe deformity, but there are no reports about its effect on the patient. Floating toes are a common complication following Weil osteotomy. Other complications associated with the Weil include delayed union, non-union, and malunion, which account for 3% The Weil osteotomy is a tried-and-true procedure but it is not without potential complications such as “floating toe” and metatarsal head malalignment. Although it appears not to cause a functional impairment, concurrent PIP arthrodesis should be avoided to reduce the occurrence of floating toes. In this study, we analyzed the consequences of floating toe deformities after the performance of a modified The floating toe deformity is classified as a forefoot deformity wherein the distal portion of the toe does not establish touch with the ground, resulting in a suspended or elevated position while the finger is in a relaxed state. May 1, 2024 · After a detailed analysis of the physiology, pathology of the floating toe and the Weil osteotomy, this article provides a comprehensive overview of the current body of knowledge pertaining to the etiology of floating toes, and explores the potential contributing variables associated with the development of this condition and feasible treatments. At this stage, with the“Maestro curve explicitly described, ” foot and ankle doctors have paid attention to the preserva-tion of parabola when performing Weil osteotomy. The toes are passively plantarflexed via the windlass mechanism, which may play a role in floating toe. Preoperative planning consisted of keeping the second metatarsal greater than or equal to the third metatarsal after Weil osteotomy of the second Nov 20, 2017 · The floating toe is a common complication of the Weil osteotomy but has little impact on the patients’ overall function and satisfaction. was fortunately not observed in the present study’s patients, but is nevertheless a serious problem that is intrinsic to this procedure [17, 18, 19, 20]. However, a floating-toe deformity appears to be a common complication after this osteotomy. Follow-up averaged 18. 31 Weil osteotomies are reported. The Triple Weil Osteotomy is a more advanced technique involving three cuts in the bone, offering more precise shortening and better alignment, reducing the risk of complications like floating toes. Although most of studies have shown an effectiveness in pain reduction close to 80–90%, complication rates are also relatively large in Dec 19, 2019 · Background: The most frequent complication after Weil osteotomies is a floating toe deformity, but there are no reports about its effect on the patient. BioSkin’s toe strap promotes proper toe alignment to correct hammertoe, dorsal drift, and floating toe. It is likely caused by the failure of the windlass mechanism in shortening the metatarsal. We comprehensively summarize the current knowledge system about the etiology of floating toe and put forward the corresponding intervention strategy. 3 (6 to 36) months. A floating toe may seem minor, but it can affect your balance, cause pain, and change how you walk. We believe that the change of mechanical struc-ture is the main cause of floating toe after Weil osteotomy. Sep 20, 2018 · The Weil osteotomy (WO) is frequently used for treating metatarsalgia and metatarsophalangeal (MTP) instability. The metatarsalgia is usually resolved, allowing improvement in pain and functional scores. A modification has been proposed to decrease the beforementioned complication, removing a slice from the osteotomy (modified Weil osteotomy, MWO). Transfer metatarsalgia was reported in 7% of the cases, whereas delayed union, non-union, and malunion were collect vely report However, a floating-toe deformity appears to be a common complication after this osteotomy. Reports of painful hard-ware, metatarsalgia, postoperative MTP joint stiffness, and floating toe have all been described. May 1, 2024 · Our search focused on published literature related to floating toes, Weil osteotomy, and distal metatarsal osteotomy, up until March 1, 2023. The objective of this study is to compare the clinical and functional outcomes between OWO and minimally invasive distal metatarsal osteotomy (DMMO), with and without lesser toe procedures. The most frequent complication after Weil osteotomies is a floating toe deformity, but there are no reports about its effect on the patient. The Weil osteotomy has gained popularity in North America based upon the simple technique, stable fi xation, excellent union rates, and predictable results. Jan 5, 2023 · The “floating toe” rate of over 40% after Weil osteotomy reported by Garcı’a-Fernandez et al. We conclude that floating-toe deformity is a common complication associated with PIP joint arthrodesis. Click to expand May 8, 2019 · The complications of the Weil osteotomy, on the other hand, are relatively high, and a literature review recently undertaken includes the presence of floating toes, recurrence, transfer metatarsalgia and a few delayed unions and no unions [30]. 1,17,20 Patients are coun-seled preoperatively on MTP stiffness, residual toe defor-mity, and the possibility of a floating toe as well . This retrospective study included 37 patients (53 feet). Oct 31, 2005 · Redislocation of the metatarsophalangeal joint was seen in two feet (8%) after one year and in three (12%) after seven years. Nevertheless, it presents complications, being the floating toe the most frequent one. Some proponents of direct plantar plate repair techniques argue that the Weil osteotomy is not necessary due to its relative complications. The most commonly reported complication of the Weil osteotomy was floating toe, reported in 233 cases, w th an over-all occurrence of 36%. The Weil osteotomy is generally indicated for recalcitrant metatarsalgia, which is refractory to conservative care. Use the strap after a Weil Osteotomy surgery for proper healing. The osteotomy is associated with various complications including floating toe (36%), recurrence (12. Nov 1, 2008 · Floating toes are a common complication following Weil osteotomy. At first, it garnered considerable interest as a complication It is w … Metatarsalgia is a frequent foot disorder. Abstract Background: A floating toe deformity occurs in many patients who undergo Weil osteotomies. The objective was to evaluate whether the length ratio between the second and the third metatarsals after Weil osteotomy influences clinical outcomes. Jul 1, 2017 · The Weil osteotomy is a common technique used in the treatment of lesser metatarsal deformities of the forefoot. Ensuring the osteotomy angle is parallel with the weightbearing surface or considering the “Weil with a Wafer” technique will help reduce the prevalence of floating toe. Dec 29, 2019 · Floating toe describes the inability of a toe to purchase the ground due to dorsiflexion of the MTP joints during static stance and is the most common complication after Weil osteotomy. In the last years a large amount of papers have been published showing its effectiveness and the complication rates of the Weil-type osteotomy. Recurrence was reported in 15% of the cases. 5%), and transfer metatarsalgia (7%) (5). In this study, we analyzed the consequences of floating toe deformities after the performance of a modified Weil osteotomy (MWO) or a modified Weil osteotomy with interphalangeal fixation (MWOIF). Although floating toes and restricted movement of the metatarsophalangeal joint may occur, the Weil osteotomy is safe and effective. zv j1z diut x0dzrta ifr cwyjy xaiukq ul1nb ylhif qf