Document Detail


Oblique metatarsal osteotomy for intractable plantar keratosis: 10-year follow-up.
MedLine Citation:
PMID:  9677076     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Twenty patients (14 women and 6 men) (23 feet) had a single oblique osteotomy operation of the 2nd, 3rd, or 4th metatarsal without fixation during an 8-year period. The mean age was 46 years (range, 21-64 years). Each patient had a painful intractable plantar keratosis preoperatively. The average follow-up was 10 years (range, 3-14 years). Postoperatively, reoperation was performed in four feet because of painful callosities. For 13 of the 19 feet that did not have reoperation, patients were limited in footwear or required a shoe insert. Overall results were good for 10 feet, fair for 7 feet, and poor for 6 feet. The only complication was a deep infection that occurred in one foot (good result). Nonunion occurred in one foot and delayed union in one. The average decrease in metatarsal length after osteotomy was 6+/-6 mm. The single oblique lesser metatarsal osteotomy may be successful, but one half of the patients continued to have some degree of pain and most patients had limitations in footwear. Overall results were disappointing, and patients who are offered this procedure should be advised of its limitations.
Authors:
O B Idusuyi; H B Kitaoka; G L Patzer
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Foot & ankle international. / American Orthopaedic Foot and Ankle Society [and] Swiss Foot and Ankle Society     Volume:  19     ISSN:  1071-1007     ISO Abbreviation:  Foot Ankle Int     Publication Date:  1998 Jun 
Date Detail:
Created Date:  1998-09-25     Completed Date:  1998-09-25     Revised Date:  2013-02-25    
Medline Journal Info:
Nlm Unique ID:  9433869     Medline TA:  Foot Ankle Int     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  351-5     Citation Subset:  IM    
Affiliation:
Mayo Graduate School of Medicine, Rochester, Minnesota, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Callosities / surgery*
Female
Follow-Up Studies
Forefoot, Human / surgery
Humans
Male
Metatarsal Bones / surgery*
Middle Aged
Osteotomy / methods*
Pain / etiology
Reoperation
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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